CN102711642B - Systems and methods for controlling use and operation of a family of different treatment devices - Google Patents

Systems and methods for controlling use and operation of a family of different treatment devices Download PDF

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CN102711642B
CN102711642B CN 201080052854 CN201080052854A CN102711642B CN 102711642 B CN102711642 B CN 102711642B CN 201080052854 CN201080052854 CN 201080052854 CN 201080052854 A CN201080052854 A CN 201080052854A CN 102711642 B CN102711642 B CN 102711642B
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damage
user interface
treatment
means
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CN102711642A (en )
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奥列格·希赫曼
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麦迪尼治疗公司
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    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
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    • G06COMPUTING; CALCULATING; COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F19/00Digital computing or data processing equipment or methods, specially adapted for specific applications
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Abstract

一种用于控制治疗装置的系统,产生在视觉上以逐步的方式提示用户使用治疗装置执行在身体区域中形成损伤模式的过程的图形界面,该损伤的模式沿圆周延伸且以不同的层级轴向地延伸。 A system for controlling treatment device, generating a stepwise manner GUI process prompts the user device to perform the treatment of the lesion pattern is formed in a body region visually, the lesion pattern extending circumferentially and at different levels shaft circumferentially extending. 该图形界面向用户显示从开始到结束的过程的进展的直观记录,并引导用户完全形成在给定层级内期望的各个损伤,且不遗漏给定层级的损伤。 The graphical interface visually displays a recording from start to end of the process the progress of the user, and guides the user is completely formed within a given desired level of individual lesions, without missing a given level of damage.

Description

用于控制一类不同治疗装置的使用和操作的系统和方法 System and method for controlling a treatment device using a different type of operation and

[0001] 相关申请 [0001] RELATED APPLICATIONS

[0002] 本申请要求2009年9月22日提交的临时申请No.61/277, 260的权益。 [0002] This application claims priority to provisional application September 22, 2009 filed equity No.61 / 277, 260 of.

技术领域 FIELD

[0003] 从总体上说,本发明针对用于治疗身体的内部组织区域的系统和方法。 [0003] Generally speaking, for the treatment of internal body tissue region for a system and method of the present invention. 更具体地, 本发明针对用于治疗身体括约肌和邻接组织的机能障碍的系统和方法。 More particularly, the present invention is directed to systems and methods for treating dysfunction in body sphincters and adjoining tissue.

背景技术 Background technique

[0004] 胃肠(GI)道(也叫做消化道)是食物通过其进入体内并被消化的长管。 [0004] The gastrointestinal (GI) tract (also known as gastrointestinal) into the body through which food is digested and long tube. 消化道从嘴开始,包括咽喉、食管、胃、小肠和大肠、以及直肠。 Digestive tract from the mouth to start, including the throat, esophagus, stomach, small and large intestines, and rectum. 对于人类,此通道是大约30英尺(9米) 长。 For human beings, this passage is about 30 feet (9 meters) long.

[0005] 小的环形肌肉(叫做括约肌)包围消化道的一部分。 [0005] small circular muscle (called the sphincter) surrounds a portion of the digestive tract. 对于健康的人,这些肌肉在进食和随后的消化过程中以协调的方式收缩或张紧,以将消化道的一个区域与消化道的另一区域暂时性地隔离。 For healthy people, these muscles in a coordinated manner contraction or tension in the eating and the ensuing digestive process, a region to another region of the gastrointestinal tract temporarily isolated.

[0006] 例如,叫做食管下括约肌(或LES)的肌肉环包围食管和胃之间的开口。 [0006] For example, called the esophageal sphincter (or LES) muscles ring surrounds the opening between the esophagus and stomach. 通常,食管下括约肌保持高于胃内的胃内压15到30毫米汞柱之间的高压区域。 Typically, the lower esophageal sphincter remains above intragastric pressure of the stomach region between 15 to 30 mm Hg.

[0007] 在直肠中,两个肌肉环(叫做内括约肌和外括约肌)通常阻止粪便离开肛管。 [0007] in the rectum, muscle two rings (called the internal sphincter and the external sphincter) normally prevents faeces leaving the anal canal. 外括约肌是随意肌,内括约肌是不随意肌。 External sphincter are voluntary muscles, the internal sphincter is involuntary muscle. 通过随意和不随意作用,这些肌肉通常一起收缩,以将粪便保持在肛管中。 Through voluntary and involuntary action, usually these muscles contract together, to keep the manure in the anal canal.

[0008] 体内的括约肌的机能障碍会导致内部损伤或疾病、不适、或在其他方面对生活品质产生不利影响。 [0008] sphincter dysfunction in the body can cause internal damage or disease, discomfort, or adversely affect the quality of life in other ways. 例如,如果食管下括约肌无法适当地起作用,那么胃酸可能上升回到食管中。 For example, if the lower esophageal sphincter can not function properly, so stomach acid may rise back to the esophagus. 会出现胃灼热或其他疾病症状,包括对食管的损伤。 There will be heartburn or other symptoms of the disease, including damage to the esophagus. 胃食管反流病(GERD)是一种常见的失调,其特征是食管下括约肌的自发松弛。 Gastroesophageal reflux disease (GERD) is a common disorder, characterized by spontaneous relaxation of the lower esophageal sphincter.

[0009] 对直肠中的外括约肌或内括约肌的损伤会导致这些括约肌出现机能障碍或在其他方面损失其正常伸缩性,使得其不再维持基本的粪便保持作用。 [0009] damage to the rectal sphincter or external sphincter can lead to the emergence of sphincter dysfunction or loss of normal stretchability in other aspects, so that it is no longer maintained substantially feces holding action. 由于粪便会没有预兆地通过肛管下降,所以大便失禁会导致突然迫切要求排便。 Since the stool will be dropped without warning through the anal canal, so fecal incontinence can cause sudden urgent need defecation. 大便失禁的生理效应(即,失去对肠的正常控制和气体、液体以及固体大便在无法预计的时间从直肠中泄漏)还会导致困窘、 羞愧和丧失信心,并进一步地会导致精神抑郁。 Physiological effects of fecal incontinence (ie, loss of bowel control and normal gas, liquid and solid stool leakage from the rectum in unpredictable time) can also lead to embarrassment, shame and loss of confidence, and further lead to depression.

发明内容 SUMMARY

[0010] 本发明的一个方面提供了用于治疗身体组织的系统和方法,包括产生用于在视觉上以逐步的方式提示用户使用治疗装置执行在身体区域中形成损伤模式的过程的图形显示,所述损伤模式包括多个轴向地隔开的损伤层级,每个损伤层级包括多个沿圆周隔开的损伤。 One aspect of the [0010] present invention provide systems and methods for treating body tissue, comprising a pattern for generating a stepwise manner using treatment device prompts the user during execution of the lesion pattern is formed in a body region in the visual display, the lesion pattern comprising a plurality of axially spaced lesion levels, each level comprising a plurality damage circumferentially spaced injury. 本系统和方法包括当在每个沿圆周隔开的层级内及其间产生损伤时实时地记录损伤的形成,从而图形显示向用户显示从开始到结束的过程的进展的直观记录,并引导用户以完全形成在给定层级内期望的各个损伤,且不遗漏给定层级的损伤。 The system and method includes between its damaged when within each circumferentially spaced level lesion formation in real-time recording, thereby recording an intuitive graphical display of the progress of the process from start to finish the user, and guides the user to fully formed within a given individual lesions desired level, and do not miss to damage levels given.

[0011] 在一个实施方式中,本系统和方法包括:在每个损伤层级处产生具有其层级的数字识别的第一程式化图形图像,并产生与第一程式化图形图像不同的第二程式化图形图像,该第二程式化图形图像在表示在给定层级处形成损伤时产生并还示出了在该层级处将形成的损伤的数量。 [0011] In one embodiment, the present system and method comprising: generating a first digital image pattern recognition stylized its level at the level of each lesion, and produce different from the first pattern image of the second program stylized of the graphic image, the graphic image represented by the second generation stylized and also the number of shows in the hierarchy of the lesions formed during the formation of lesions at a given level. 本系统和方法包括将第二图形图像变成与第一或第二图像不同的第三图形图像,该第三图形图像包括附加标记以实时地反映损伤的形成。 The system and method includes a second graphical image into the first or second image different from the image of a third pattern, the third pattern includes a real time image reflects the formation of lesions additional markers. 本系统和方法还包括当在相应的损伤层级上形成期望的损伤模式时产生与第一、第二和第三图形图像不同的第四图形图像,该第四图形图像包括一指示,以表示已在该层级处形成所有期望的损伤。 The system and method further includes generating, when a desired lesion pattern is formed on the respective level of damage to the first, fourth graphic image different from the second and third graphic image, the graphic image comprises a fourth indication indicates to All desired form at the level of the injury. 本系统和方法还包括产生一标志,所述标志将用户引导至待治疗的下一损伤层级并在治疗连续损伤层级时更新。 The system and method further includes generating a flag, the flag will guide the user to the next level of injury to be treated and continuously updated in the treatment of injury level.

[0012] 在以下描述和附图中、以及在所附权利要求中阐述了本发明的其他特征和优点。 [0012] In the following description and drawings, as well as other features and advantages set forth the invention in the appended claims.

附图说明 BRIEF DESCRIPTION

[0013] 图1是可与一类不同的治疗装置相关联地使用的统一系统的图示,该治疗装置用于治疗身体的不同区域中的身体括约肌和邻接组织区域。 [0013] FIG. 1 is an illustration of a unified type system different from that used in association with the treatment device, the treatment device for treating body sphincters and adjoining tissue regions in the different regions of the body.

[0014]图2是可与图1所示的系统相关联地使用以治疗上胃肠道中的组织的一种类型的治疗装置的去除了一部分的透视图,该治疗装置具有示出为处于皱缩状态中的用于接触组织的操作元件。 [0014] FIG. 2 is used in association with the system shown in Figure 1 to a treatment device to the treatment of gastrointestinal type of tissue in addition to the perspective view of part of the treatment device having a wrinkle is shown in reduced state of an operating element for contacting tissue.

[0015] 图3是图2所示的装置的去除了一部分的透视图,该操作元件示出为处于扩展状态中。 [0015] FIG. 3 is a device according to FIG. 2 perspective view of part of the addition, the operating element is shown in an expanded state.

[0016] 图4是图2所示的装置的去除了一部分的透视图,该操作元件示出为处于扩展状态中并使电极延伸以供使用。 [0016] FIG. 4 is a device according to FIG. 2 perspective view of part of the addition, the operating element is shown in the expanded condition and the electrodes extended for the use.

[0017] 图5是可通过在食管中在食管下括约肌处或其附近以及在胃的贲门中操纵图2至图4所示的装置而形成的损伤模式,该损伤模式包括多个轴向地隔开的损伤层级,每个损伤层级包括多个沿圆周隔开的损伤。 [0017] FIG. 5 is in the esophagus by means at or near the sphincter and cardia of the stomach manipulation FIGS. 2 to 4 as shown in the lower esophageal lesion pattern is formed, the lesion pattern comprises a plurality of axially spaced lesion level, each level comprising a plurality damage circumferentially spaced injury.

[0018] 图6是可与图1所示的系统相关联地使用以治疗下胃肠道中的组织的另一种类型的治疗装置的透视图,该治疗装置具有示出为处于缩回位置中的一排电极。 [0018] FIG. 6 is a perspective view used in the treatment of lower gastrointestinal tract tissue treatment device of another type in association with the system shown in Figure 1, the treatment device has shown in a retracted position a row of electrodes.

[0019] 图7是图6所示的装置的透视图,这排电极示出为处于其延伸位置中。 [0019] FIG. 7 is a perspective view of the device shown in FIG. 6, the row electrode is shown in its extended position.

[0020] 图8是图6和图7所示的装置的透视图,这排电极示出为处于其在下胃肠道中展开以治疗肛管的括约肌机能障碍的延伸位置中。 [0020] FIG. 8 is a perspective view of the apparatus shown in FIG. 6 and FIG. 7, which illustrates the discharge electrode sphincter dysfunction an extended position in which is unfolded to the lower gastrointestinal tract in the treatment of anal canal.

[0021] 图9是可通过在肛管中在肛门括约肌处或其附近操纵图8所示的装置而形成的损伤模式,该损伤模式包括多个轴向地隔开的损伤层级,每个损伤层级包括多个沿圆周隔开的损伤。 [0021] FIG. 9 is a lesion pattern in the anal canal through the anal sphincter means at or near the manipulator shown in Figure 8 is formed, the lesion pattern comprises a plurality of axially spaced lesion levels, each injury level comprising a plurality of circumferentially spaced injury.

[0022] 图IOA和图IOB分别是包含图1所示的系统的特征并可与图2或图6所示的治疗装置相关联地使用以治疗身体括约肌和邻接组织区域的集成装置的一个实施方式的左透视图和右透视图,该集成装置还具有这样的控制器:图形用户显示在视觉上以逐步的方式提示用户使用治疗装置执行如同图5或图9所示的在身体区域中形成损伤模式的过程,弓丨导用户完全形成在给定层级内期望的各个损伤,并不遗漏给定层级的损伤。 [0022] FIGS. IOA and IOB are features of the system shown in Figure 1 comprises a treatment device and can be used in association with FIG. 2 or FIG. 6 to FIG an integrated device for treatment of body tissue and the adjacent region of the sphincter embodiment a right and left perspective view of a perspective view of the embodiment, the integrated device also has a controller: display on a graphical user visual cues in a stepwise manner using a user device to perform the treatment in the forming region of the body as shown in FIG. 5 or FIG. 9 process damage mode, user guide bow Shu fully formed within a given level of individual lesions desired, not missing a given level of damage.

[0023] 图11是由控制器产生的代表性图形用户设置显示,该控制器在治疗过程之前通过设置和连接步骤用数字和/或文本和/或图标提示用户。 [0023] FIG. 11 is a representative graphical user display generated by the controller is provided, and by setting the controller prompts the user with a digital connection step and / or text and / or icons before treatment.

[0024] 图12是在识别如同图2至图4所示的装置的连接(通过商标STETTA®识别)时由控制器产生的代表性图形用户设置显示。 Representative graphical user when [0024] FIG. 12 is identified as in FIGS. 2 through connection (identified by the trademark STETTA®) apparatus shown in the display generated by the controller settings.

[0025] 图13是在识别如同图6至图8所示的装置的连接(通过商标SECTAk5识另U)时由控制器产生的代表性图形用户设置显示。 [0025] FIG. 13 is a representative graphical user identifying provided as Figures 6 to 8 of the connecting device shown in (a trademark identifying another by U SECTAk5) generated by the display controller.

[0026] 图14A至图140是由控制器产生的用于在视觉上以逐步的方式提示用户使用如同图2至图4所示的治疗装置执行如同图5所示的在食管中形成损伤模式的过程的代表性图形用户治疗显示,该图形用户显示引导用户并产生从开始到结束的过程的进展的直观记录,以完全形成在给定层级内期望的各个损伤,并不遗漏给定层级的损伤。 [0026] FIGS. 14A to 140 are generated by a controller for stepwise fashion prompt the user to perform the treatment device shown in FIGS. 2 to 4 as formed in the esophagus as shown in Fig lesion pattern visually representative graphical user display of the course of treatment, the graphical user display and guiding the user generated from start to end of the process the progress of the visual records, to complete formation of the desired level within a given individual lesions, not missing a given level damage.

[0027] 图15A至图151是由控制器产生的用于在视觉上以逐步的方式提示用户使用如同图6至图8所示的治疗装置执行如同图9所示的在肛管中形成损伤模式的过程的代表性图形用户治疗显示,该图形用户显示引导用户并产生从开始到结束的过程的进展的直观记录,以完全形成在给定层级内期望的各个损伤,并不遗漏给定层级的损伤。 [0027] Figures 15A is generated by the controller 151 for prompting a stepwise manner using a user to visually perform treatment device shown in FIG. 6 to FIG. 8 as in FIG. 9 as formed in the anal canal FIG damage representative treatment graphical user display mode, the graphical user display and guiding the user generated from start to end of the process the progress of the visual record, to completely form the respective desired level within a given injury, the omission is not given hierarchy damage.

[0028] 在不背离其实质或本质特性的前提下,本发明可以几种形式体现。 [0028] made without departing from the spirit or essential characteristics thereof, the present invention may be embodied in several forms. 本发明的范围在所附权利要求中限定,而非在权利要求之前的特定描述中限定。 Scope of the invention defined in the appended claims, rather than specifically described previously defined in the claims. 因此,落入权利要求的等同物的含义和范围内的所有实施方式都旨在被权利要求涵盖。 Thus, the meaning of the appended claims and all embodiments within the scope of equivalency of the claims are intended to be encompassed.

具体实施方式 detailed description

[0029] 本说明书公开了各种用于治疗体内的括约肌和邻接组织区域的机能障碍的系统和方法。 [0029] The present specification discloses systems and methods for a variety of sphincters and adjoining tissue regions dysfunction treatment in vivo. 该系统和方法特别适合于治疗上胃肠道和下胃肠道中的这些机能障碍,例如影响食管下括约肌和邻近的胃的贲门的胃食管反流病(GERD),或影响肛管的内括约肌和外括约肌的大便失禁。 The dysfunction of the system and method are particularly suitable for the treatment of gastrointestinal tract and lower gastrointestinal tract, such as the impact of the lower esophageal sphincter and cardia of the stomach adjacent the gastroesophageal reflux disease (of GERD), or the influence of the anal sphincter external sphincter and fecal incontinence. 为此,将在此上下文中描述该系统和方法。 For this purpose, the system and method will be described in this context. 还应理解,所公开的系统和方法可适合于用来治疗体内其他地方的其他机能障碍、以及未必与括约肌相关的机能障碍。 It should also be understood that the disclosed systems and methods may be adapted for treating other dysfunctions elsewhere in the body, and not necessarily associated with dysfunction of the sphincter. 例如,本发明的各种方面可用在需要治疗痔疮或小便失禁的过程中,或用在恢复顺应性或以其他方式使内部组织或肌肉区域张紧的过程中。 For example, various aspects of the invention need be used in the treatment of hemorrhoids, or incontinence process, or in the process of restoring compliance to or otherwise the interior tissue or muscle regions of tension. 体现本发明的特征的系统和方法还可适合于与基于导管的和未必基于导管的系统和外科技术一起使用。 Embodying features of the present invention is a system and method may also be adapted to the catheter-based systems and are not necessarily catheter-based surgical techniques and used together.

[0030]I•系统概述 [0030] I • System Overview

[0031] 图1示出了用于诊断和/或治疗身体的不同区域中的括约肌和邻接组织的机能障碍的统一标准系统24。 [0031] FIG 1 illustrates a unified system for diagnosis and / or treatment of dysfunctions of different regions of the body sphincters and adjoining tissue 24. 在所示实施方式中,将系统24构造为,诊断并治疗体内的至少两个不同的括约肌区域中的机能障碍。 In the embodiment shown, the system 24 is configured as, dysfunction of the sphincter regions of at least two different diagnostic and treatment in vivo.

[0032] 目标括约肌区域可改变。 [0032] The target region may be changed sphincter. 在所示实施方式中,一个区域包括上胃肠道,例如食管下括约肌和邻近的胃的贲门。 In the illustrated embodiment, a region including the upper gastrointestinal tract, such as the lower esophageal sphincter and adjacent cardia of the stomach. 第二区域包括下胃肠道,例如位于肠、直肠和肛管中的。 The second region includes the lower gastrointestinal tract, e.g. located intestine, rectum and anal canal.

[0033] 系统24包括一类(afamilyof)治疗装置26a和26b。 [0033] The system 24 comprises a Class (afamilyof) treatment means 26a and 26b. 每个装置26a和26b可根据旨在治疗的特定括约肌区域的生理学和解剖学而特别地构造。 Each device 26a and 26b may be specially constructed in accordance with the physiology and anatomy of the intended specific treatment sphincter region. 将在后面为了说明的目的而总体上描述每个装置26a和26b的结构的细节,但是对于本发明来说并不重要。 For purposes of illustration will be described in general details of construction of each device 26a and 26b in the back, it is not important to the present invention.

[0034] 每个装置26a/26b携带操作元件36a和36b。 [0034] each of the devices 26a / 26b carrying the operating members 36a and 36b. 操作元件36a和36b可根据旨在治疗的特定括约肌区域的生理学和解剖学而不同地构造。 Elements 36a and 36b may be differently configured according to the particular physiology and anatomy of the intended treatment area sphincter operation. 尽管如此,如果两个治疗区域的解剖学和生理学相同或足够相似,那么操作元件36a和36b的结构可以是相同或基本相同的。 Nevertheless, if the anatomy and physiology of the two treatment area identical or similar enough, the structure of the operating elements 36a and 36b may be the same or substantially the same.

[0035] 在所示实施方式中,操作元件36a和36b在系统10中用来以选择性的方式对目标括约肌区域中或附近的组织施加能量。 [0035] In the embodiment shown, the operating members 36a and 36b to apply energy in a selective manner to the target area in or near the sphincter muscle tissue in the system 10. 所施加的能量在目标区域的表面下方产生一个或多个损伤、或指定的损伤模式。 Energy applied generates one or more damage or injury specified pattern below the surface of the target area. 希望表面损伤以保持和保护表面不受热损伤的方式形成。 Desirable to maintain the surface damage and protect the surface from thermal damage is formed.

[0036] 表面损伤的自然康复导致目标组织的生理张紧。 [0036] surface damage of the natural recovery of the target tissue resulting in physiological tension. 表面损伤还会导致异常电路径的中断,这可能导致自发括约肌松弛。 Surface damage can also lead to interrupt abnormal electrical path, which may cause spontaneous sphincter relaxation. 无论如何,该治疗可恢复括约肌区域18的正常闭合功能。 In any case, the treatment restore normal closure function to the sphincter 18 region.

[0037] 系统24包括对所选的以供使用的装置26a/26b的操作元件36a/36b供应治疗能量的发生器38。 [0037] The system 24 includes 36a / 36b supplies treatment energy generator 38 pairs of the selected device for use in the operating element 26a / 26b is. 在所示实施方式中,发生器38供应射频能量,例如具有在大约400kHz至大约IOmHz的范围内的频率。 In the illustrated embodiment, the generator 38 supplies radio frequency energy, for example having a frequency in a range of about to about IOmHz to 400kHz. 当然,可施加其他形式的能量,例如相干光或非相干光;加热或冷却的流体;电阻加热;微波;超声波;组织消融流体;或低温流体。 Of course, other forms of energy may be applied, for example, coherent or incoherent light; heating or cooling fluid; resistive heating; microwave; ultrasound; tissue ablation fluid; or cryogenic fluid.

[0038] 所选的装置26a/26b可经由电缆10各自接合至发生器38,以将所产生的能量传送至相应的操作元件36a/36b。 [0038] The selected device 26a / 26b may be bonded via a respective cable 10 to the generator 38 to the energy generated is transferred to the respective operating element 36a / 36b.

[0039] 系统24优选地还包括某些辅助处理设备。 [0039] The system 24 further preferably includes certain auxiliary processing equipment. 在所示实施方式中,处理设备包括外部流体输送设备44和外部吸入设备46。 In the illustrated embodiment, the processing device 44 comprises an external fluid delivery apparatus 46 and the external suction device.

[0040] 所选的装置26a/26b可经由管道12连接至流体输送设备44,以传送处理流体,从而通过操作元件36a/36b排出或在其附近排出。 [0040] The selected device 26a / 26b may be connected via a conduit 12 to the fluid delivery device 44, to convey processing fluid to discharge or in the vicinity thereof by operation of the discharge member 36a / 36b. 所选的装置26a/26b还可经由管道14连接至吸入设备46,以从操作元件36a/36b或从其附近传送吸入的物质,从而排出。 Selected device 26a / 26b may also be connected via a conduit 14 to the suction device 46 to operate from 36a / 36b or substance near its transfer suction member, thereby discharging.

[0041] 系统24还包括控制器52。 [0041] The system 24 further includes a controller 52. 优选地包括中央处理器(CPU)的控制器52连接至发生器38、流体输送设备44、以及吸入设备46。 Preferably includes a central processing unit (CPU) of the controller 52 is connected to the generator 38, the fluid delivery device 44, and a suction device 46. 或者,吸入设备46可包括典型地存在于医生的房间中的传统真空源,该真空源与控制器52无关地连续工作。 Alternatively, suction device 46 may comprise a conventional vacuum source typically present in the doctor's room, the vacuum source 52 independently of the controller continuously.

[0042] 控制器52控制功率电平、周期、以及将射频能量分配给特定操作元件36a/36b的持续时间,以获得并保持适合于实现期望的治疗目的的功率电平。 [0042] The controller 52 controls the power levels, cycles, and duration of the RF energy assigned to a particular operating element 36a / 36b in order to achieve and maintain power levels appropriate to achieve the desired therapeutic purposes. 相协作地,还期望控制器52控制处理流体的输送,如果希望的话,控制吸入的物质的去除。 In cooperation, it is also desirable to control the delivery of treatment fluid controller 52, if desired, controlling the intake of the material is removed.

[0043] 控制器52包括输入/输出(I/O)装置54。 [0043] The controller 52 includes an input / output (I / O) device 54. I/O装置54允许医生输入控制和处理变量,以使得控制器能够产生适当的命令信号。 I / O device 54 allows the physician to input control and processing variables, to enable the controller to generate appropriate command signals. I/O装置54还从与操作元件(如将在后面描述的)相关的一个或多个传感器接收实时处理反馈信息,以由控制器52处理,例如,以控制能量的施加和处理流体的输送。 I / O device 54 is also associated with the one or more sensors receive real-time processing feedback information from the operating element (as will be described later), for processing by a controller 52, e.g., application of energy and to control the delivery of treatment fluid .

[0044] I/O装置54还包括通过图形向医生呈现处理信息以供查看或分析的图形用户界面(GUI)。 [0044] I / O device 54 further comprises a presentation process information for viewing or analysis of a graphical user interface (GUI) to the doctor graphically. 将在后面提供与GUI相关的进一步细节。 We will provide further details related to the GUI in the back.

[0045] II•治疗装置 [0045] II • treatment means

[0046] 操作元件36的结构可改变。 [0046] The configuration of the operation member 36 can be changed. 将描述各种示例性实施方式。 Various exemplary embodiments will be described.

[0047] A.用于上胃肠道的治疗 [0047] A. for the treatment of the gastrointestinal tract

[0048] 图2至图4示出了用于治疗上胃肠道中的括约肌区域(更特别地是食管下括约肌和邻接的胃的贲门以治疗GERD)的基于导管的装置26a。 [0048] Figures 2 to 4 shows a device 26a for the treatment of gastrointestinal sphincter region is (more particularly sphincter and adjacent cardia of the stomach in the treatment of esophageal GERD) catheter-based. 在所示实施方式中,装置26a包括在其近端处承载有把手28的柔性导管30。 In the embodiment shown, the apparatus includes a carrier 26a has at its proximal end 30 of the handle 28 of the flexible conduit. 导管30的远端承载操作元件36a。 The distal end of catheter 30 carries the operating element 36a.

[0049] 在所示实施方式中,操作元件36a包括三维篮状物(basket)56。 [0049] In the illustrated embodiment, the operating element 36a comprises a three-dimensional basket (basket) 56. 篮状物56包括一个或多个脊(spine) 58,并典型地包括从四个到八个脊58,所述脊通过远端毂60和近端基座62组装在一起。 The basket 56 includes one or more ridges (Spine) 58, and typically includes from four to eight ridges 58, the ridges 60 of the hub through the distal and proximal ends of the base 62 are assembled together. 在所示实施方式中,示出了沿圆周以90度间隔隔开的四个脊58。 In the embodiment shown, four ridges shown at 90 degree intervals circumferentially spaced 58.

[0050] 在所示实施方式中,包括气囊的可扩展结构72位于篮状物56内。 [0050] In the embodiment shown, the expandable structure comprises a balloon 72 may be located within the basket 56. 气囊结构72可由例如聚对苯二甲酸乙二醇酯(PET)材料制成,或由聚酰胺(不柔软的)材料制成,或由辐射交联聚乙烯(半柔软的)材料制成,或由乳胶材料制成,或由硅酮材料制成,或由C-Flex(高度柔软的)材料制成。 Balloon structure 72 may be formed, for example, polyethylene glycol terephthalate (PET) made of a material of terephthalic acid, or (inflexible) is made of a polyamide material, or a radiation crosslinked polyethylene (semi-soft) material, or made of a latex material, or made of a silicone material, or a C-Flex (highly flexible) material.

[0051] 气囊结构72呈现在正常情况下通常皱缩(collapse)的状态,如图2所示。 [0051] The balloon structure 72 presents generally normally crimped (Collapse) state, as shown in FIG. 在此状态中,篮状物56在正常情况下还皱缩在气囊结构72周围,呈现低轮廓以在食管中展开。 In this state, the basket 56 is also normally collapsed about the balloon structure 72, presenting a low profile for deployment in the esophagus.

[0052] 导管30包括与气囊结构72的内部连通的内腔。 [0052] The catheter 30 includes a lumen 72 with the interior of balloon structure of the communication. 配件76(例如注射器起动的止回阀)由把手28承载。 Fitting 76 (e.g. a syringe start check valve) is carried by the handle 28. 配件76与内腔连通。 Fitting 76 in communication with the lumen. 配件76使内腔与注射器78接合(见图3)。 Fitting 76 so that lumen 78 engages the syringe (see FIG. 3). 注射器78将流体在压力下通过内腔注射至气囊结构72中,导致气囊结构扩展。 The syringe 78 fluid injected under pressure through the lumen into the balloon structure 72, resulting in expanded balloon structure.

[0053] 气囊结构72的扩展迫使篮状物56打开和扩展(见图3)。 [0053] expanded balloon structure 72 forces the basket 56 to open and expand (see FIG. 3). 当扩展时,由气囊结构72施加的力足以在篮状物56周围的组织上施加展开或扩张力(见图3)。 When extended, the force exerted by the balloon structure 72 sufficient to apply a force to expand or expanded (see FIG. 3) on the tissue surrounding the basket 56.

[0054] 每个脊58承载电极66(见图4)。 [0054] Each spine 58 carries an electrode 66 (see FIG. 4). 因此,具有沿圆周以90度间隔隔开的四个电极。 Thus, an electrode having four circumferentially spaced at 90 degree intervals. 在所示实施方式中,将每个电极66承载在管状脊58内,以进行滑动运动。 In the illustrated embodiment, each electrode 66 is carried within the tubular spine 58 for sliding movement. 每个电极66从缩回到脊58中的收回位置(图3所示)和通过脊58中的孔从脊58向外延伸的延伸位置(见图4)滑动。 Each electrode 66 slides from a retracted to the retracted position of the ridge 58 (FIG. 3) and an extended position extending outwardly from the ridge 58 by the ridges 58 of the hole (see FIG. 4). 通过一个或多个内部电线使把手28上的推拉杆68与滑动电极66接合。 By one or more inner wire 68 so that the push rod 28 and the sliding electrode 66 of the handle engages. 杆68 控制电极在收回位置(通过在杆68上向后拉)和延伸位置(通过在杆68上向前推)之间的运动。 Control electrode rod 68 in the retracted position (by pulling rearward on the lever 68) and an extended position (by pushing forward on the lever 68) between the movement.

[0055] 当延伸时,电极66具有足以在食管下括约肌18或胃16的贲门的平滑肌的组织中刺入期望的深度(见图32)的远端锐度和强度。 [0055] When extended, piercing electrode 66 having a desired sufficient cardiac sphincter smooth muscle tissue of the stomach 18 or esophagus 16, at depth (see FIG. 32) distal sharpness and strength. 期望的深度可以在大约4mm到大约5mm的范围。 To the desired depth may be in the range of about 5mm to about 4mm.

[0056] 电极66由传导射频能量的材料形成,例如由镍钛、不锈钢(例如304不锈钢)、或镍钛和不锈钢的组合形成。 [0056] The electrode 66 is formed of a conductive material, radio frequency energy, for example, a nickel-titanium, stainless steel (e.g. 304 stainless steel), or a combination of nickel titanium and stainless steel is formed.

[0057] 在所示实施方式中(见图4),将电绝缘材料70涂覆在每个电极66的近端周围。 [0057] In the illustrated embodiment (see FIG. 4), the coating 70 of electrically insulating material surrounding the proximal end of each electrode 66. 当刺入食管括约肌18或贲门20的平滑肌的电极66的远端传送射频能量时,材料70阻止食管10或贲门20的粘膜表面直接暴露于射频能量。 When the distal end of the puncturing esophageal sphincter 18 or cardia 20 muscle of RF energy transmitting electrode 66, the material 70 to prevent the cardia 10 or the mucosal surface of the esophagus 20 is directly exposed to RF energy. 从而避免对粘膜表面的热损伤。 Thereby avoiding thermal damage to the mucosal surface. 在施加射频能量的过程中,粘膜表面还可主动地冷却,以进一步保护粘膜表面不受热损伤。 During the application of RF energy, the mucosal surface can also be actively cooled, to further protect the mucosal surface from thermal damage.

[0058]在所示实施方式中(见图4),至少一个温度传感器80与每个电极相关联。 [0058] In the illustrated embodiment (see FIG. 4), the at least one temperature sensor 80 associated with each electrode. 一个温度传感器80感测电极66的暴露的远端附近的温度情况,第二温度传感器80位于相应的脊58上,当使气囊结构72充气时,所述脊58抵靠在粘膜表面上。 A temperature sensor 80 sensing electrode exposed to temperatures near the distal end 66, a second temperature sensor 80 located on the corresponding spine 58, when the balloon structure 72 is inflated, the ridge 58 rests on the mucosal surface.

[0059]外部流体输送设备44经由管道12 (见图1)与连接器48 (见图4)接合,以对目标组织供应冷却液体,例如通过脊中的孔。 [0059] an external fluid delivery apparatus 44 via conduit 12 (see FIG. 1) and connector 48 (see FIG. 4) engage, to supply cooling liquid to the target tissue, such as holes through the ridge. 外部吸入设备46经由管道14 (见图1)与连接器50 (见图4)接合,以从目标组织位置传送液体,例如通过脊中的其他孔或篮状物56上的其他地方。 External suction apparatus 46 via a conduit 14 (see FIG. 1) and connector 50 (see FIG. 4) engaged to the liquid transfer from the target tissue site, e.g. elsewhere on the basket or other apertures through the ridges 56. 控制器52可控制处理流体的输送,如果希望的话,可控制吸入的物质的去除。 The controller 52 may control the delivery of fluid treated, if desired, can control the removal of material sucked.

[0060] 控制器52可调节电极66以单极模式工作。 [0060] The controller 52 can adjust the working electrode 66 in a unipolar mode. 在此模式中,每个电极66用作能量的发射器,并且,中性膜片电极(indifferentpatchelectrode)(在后面描述)用作所有电极66的共同回路。 In this mode, each electrode 66 is used as a transmitter of energy, and the neutral patch electrode (indifferentpatchelectrode) (described later) is used as the common electrode 66 for all circuits. 或者,控制器52可调节电极66以双极模式工作。 Alternatively, the controller 52 can adjust the working electrode 66 in a bipolar mode. 在此模式中,一个电极包括发射器,另一电极包括所发射的能量的回路。 In this mode, one electrode includes a transmitter, the other electrode circuit including an energy emitted. 双极电极对可以是邻接脊上的电极66,或在不同脊上更宽地隔开的电极66。 It may be a bipolar electrode pair adjacent ridge electrode 66, or electrodes 66 spaced more widely at different ridges.

[0061] 在使用中,操纵装置26a以产生包括位于几个轴向地隔开的层级(大约隔开5mm) 处的损伤的圆周环的多个损伤的优选模式,每个层级包括8个到12个损伤。 [0061] In use, to generate actuating means 26a comprises several axially spaced levels (spaced approximately 5mm) mode preferably a plurality of circumferential rings injury damage at each level includes eight to 12 damage. 在图5中示出了损伤模式的示例性实施方式。 FIG. 5 shows an exemplary embodiment of the lesion pattern. 如图5所示,这些环优选地形成在位于胃上方的区域中的食管中,或形成在食管下括约肌处或其附近,和/或形成在胃的贲门中。 5, the ring is preferably formed in a region located above the stomach in the esophagus, the lower esophageal sphincter or formed at or near, and / or formed in the cardia of the stomach. 贲门中的环围绕贲门的开口漏斗同心地隔开。 Cardia ring around the opening funnel of the cardia concentrically spaced. 这些环在食管下括约肌处或其附近沿着食管轴向地隔开。 These rings at or near the lower esophageal sphincter esophagus spaced axially along.

[0062] 伴随着导管的用于重新定位篮状物56的旋转和/或轴向运动,可通过电极66的连续延伸和收回来产生多个损伤模式。 [0062] With the catheter for repositioning the basket rotation and / or axial movement 56, may be produced by a continuous electrode 66 of the plurality of extended and retracted lesion pattern. 医生可通过在目标治疗位置处使气囊结构72扩展并使电极66延伸来产生给定的环模式,以形成第一组的四个损伤。 The doctor can at the target treatment location expand the balloon structure 72 and extending the electrodes 66 to produce a given ring pattern to form a first set of four lesions. 然后,医生可使电极66 缩回,使气囊结构72皱缩,并使导管30旋转期望的量,例如30度或45度,取决于在360度内期望的总损伤的数量。 Then, the doctor can electrode 66 is retracted, the balloon 72 collapsed configuration, the catheter 30 is rotated and a desired amount, such as 30 degrees or 45 degrees, depending on the desired number of 360 degrees of total injury. 然后,医生可再次使结构72扩展并再次使电极66延伸,以实现第二组的四个损伤。 Then, the physician may re-enable the structure 72 and extended again extends the electrodes 66, to achieve a second set of four lesions. 医生重复此顺序,直到在环的360度范围内形成期望数量的损伤为止。 Doctor repeating this sequence until a desired number of lesions formed within a range of 360 degree. 可通过使操作元件轴向地前进、用导管上的外部标记计量环间隔来产生位于不同的层级处的额外的损伤。 It can be obtained by axially advancing the operating member, with the outer ring on the catheter marker measurement interval to generate additional damage located at different levels.

[0063] 如图5所示,期望的模式包括在下标方向上编号为层级1至层级6的六个圆周损伤的轴向隔开的模式,一些层位于胃的贲门中,其他层在胃上方的食管中位于食管下括约肌处或其附近。 [0063] As shown, a desired pattern 5 comprises a lower number of axial directions around the circumference of six injury Level 1 to Level 6 spaced pattern, some of the layers located in the cardia of the stomach, the stomach over the other layers the esophagus is located at or near the lower esophageal sphincter. 在当前考虑的图5中示出的实施方式中,在层级1、2、3和4中,具有沿圆周隔开45度的8个损伤(S卩,第一能量施加,然后是篮状物56的45度旋转,然后是第二能量施加)。 In a presently contemplated embodiment shown in FIG. 5, the level 1, 2 and 4, having circumferentially spaced 45 degrees injury 8 (S Jie, energy is applied first, then the basket 56 is rotated 45 degrees, then the second application of energy). 在层级5和6中,具有沿圆周隔开30度的12个损伤(S卩,第一能量施加,然后是篮状物56的30度旋转,然后是第二能量施加,然后是篮状物56的30度旋转,然后是第三能量施加)。 5 and 6 in the hierarchy, 30 having circumferentially spaced 12 degrees injury (S Jie, energy is applied first, then the 30-degree rotation of the basket 56, then the second application of energy, then the basket 56 30 degree rotation, then a third application of energy). 在层级5中,仅使气囊结构72部分地扩展,而在层级6中,使气囊结构72更完全地扩展,以根据贲门漏斗中可用的漏斗形状的空间提供周长增加的损伤模式。 In level 5, only the partially expanded balloon structure 72, and in the hierarchy 6, the balloon structure 72 is more fully extended to provide increased damage modes in accordance with the circumference of the space available in the cardia funnel funnel-shaped.

[0064] B.用于下胃肠道的治疗 [0064] B. for the treatment of gastrointestinal tract

[0065] 图6和图7示出了装置26b的示例性实施方式,该装置具有用于治疗下胃肠道中的括约肌区域(更特别地是肛管中的内括约肌和/或外括约肌以治疗大便失禁)的用手操纵的装置302的形式。 [0065] Figures 6 and 7 illustrate an exemplary embodiment of the device 26b, the device having a region of the sphincter of the gastrointestinal tract for the treatment of lower (more particularly the sphincter in the anal canal and / or external sphincter to treat means 302 in the form of a hand operated fecal incontinence) is. 装置302包括承载操作元件36b的手柄304。 Device 302 includes a carrying handle 304 of the operation member 36b.

[0066] 在所示实施方式中,操作元件36b具有由透明的模塑塑性材料制成的空心管状圆筒306的形式。 [0066] In the illustrated embodiment, the operation member 36b in the form of a hollow tubular cylinder made of a transparent plastic molding material 306. 圆筒306终止于钝的倒圆远端308,以帮助圆筒306通过肛管,不需要单独的导入器。 Cylinder 306 terminates in a blunt rounded distal end 308, the cylinder 306 through the anal canal to help, no separate introducer. 手柄304包括用于查看圆筒306的透明空心内部的观察口312,以使得能够看见周围的组织。 Handle 304 includes a transparent view of the cylindrical hollow interior 306 of the viewing port 312, so that the surrounding tissue can be seen.

[0067] 沿着圆筒306的弓形段以并排的关系可移动地装有一排针电极316。 [0067] arcuate section 306 along the cylindrical side by side relationship may be provided with a movable electrode pin 316. 在所示实施方式中,针电极316在圆筒306上占据大约67. 5度的圆弧。 In the illustrated embodiment, the needle electrode 316 occupies an arc of approximately 67.5 degrees to the cylinder 306. 针电极316与手柄304上的用手指操作的拉杆318机械地连接。 Rod 318 is mechanically connected to a finger operation on the needle electrode 316 and the handle 304. 通过拉杆318的操作,使针电极316的远端在缩回位置(图5)和延伸位置(' 523专利的图6)之间移动。 By operating rod 318, the needle electrode distal end 316 movable between a retracted position (FIG. 5) and an extended position ( '523 patent FIG. 6). 除了在此对组织施加射频能量的远端的指定区域以外,在针电极316周围涂覆电绝缘材料344(见'523专利的图6)。 In addition to the designated area of ​​application of RF energy to the distal end of the tissue, the needle electrode 316 coated with an electrically insulating material around 344 (see FIG '523 patent 6). 发生器38经由电缆1〇与连接器352接合,以对电极316传送射频能量。 38352 generator via a cable 1〇 engagement with the connector, to transmit RF energy to the electrode 316.

[0068] 在使用中(见图8),医生抓握手柄304并将圆筒306引导到肛管320中。 [0068] In use (see FIG. 8), the doctor 304 and a cylindrical grip handle 306 directed into the anal canal 320. 拉杆318 处于中立位置而没有被按下,因此,针电极316占据其正常缩回位置。 In the neutral position lever 318 is not pressed, therefore, the needle electrode 316 occupies its normal retracted position. 通过观察口312观察, 医生能够看见通过圆筒306的梳状(齿状)线。 By observation of the viewing port 312, the physician can see through the cylindrical comb 306 (dentate) line. 通过圆筒306观察,医生将针电极316的远端相对于梳状(齿状)线定位在期望的位置处。 By observation of the cylinder 306, the distal end of the doctor with respect to the needle electrode 316 at the position of the comb (dentate) positioned in the desired line. 光纤也可位于圆筒306中以提供局部照明。 Fiber 306 may be located within the cylinder to provide local illumination. 一旦圆筒306的远端位于目标位置处,医生便按下拉杆318 (如图8所示)。 Once the distal end of the cylinder 306 is located at the target location, the physician will press the lever 318 (FIG. 8). 针电极316前进至其延伸位置。 Advancing the needle electrode 316 to its extended position. 电极316的远端刺穿并通过粘膜组织进入目标括约肌的肌肉组织中。 Distal electrode 316 pierce through the mucosal tissue and into the target sphincter muscle tissue. 在图8中,将电极316的远端示出为刺入不随意内括约肌322。 In FIG 8, the distal end of the electrode 316 is shown as penetrating the involuntary sphincter 322. 医生指挥控制器52通过针电极316施加射频能量。 Doctor directing RF energy is applied to the controller 52 through the needle electrode 316. 该能量可由所有电极316同时施加,或以任何期望的顺序施加。 The energy can be applied simultaneously to all electrodes 316, or applied in any desired order.

[0069] 外部流体输送设备44经由管道12与连接器348接合,以传送冷却液,例如通过圆筒306中的孔,从而接触位于电极316周围的局部位置处的组织。 [0069] an external fluid delivery apparatus 12 via the duct 44 348 engaging with the connector, to transfer cooling fluid, for example through the cylindrical apertures 306 so as to contact tissue at localized positions located around 316 electrodes. 外部吸入设备46经由管道14与连接器350接合,以从目标组织位置传送液体,例如通过位于圆筒306(见图6和图7)的远端308中的吸入口358。 External suction device 46350 via the conduit 14 engages with the connector, to transfer the liquid from the target tissue site, e.g., by the distal end 308 located within the cylinder 306 (see FIGS. 6 and 7) in the inlet port 358.

[0070] 圆筒306(见图7)还优选地承载温度传感器364,其中一个温度传感器与每个针电极316相关联。 [0070] The cylinder 306 (see FIG. 7) is also preferably carries a temperature sensor 364, a temperature sensor and wherein each needle electrode 316 is associated. 传感器364感测每个针电极316附近的区域中的组织温度情况。 Tissue temperature sensor 364 near the region where the sensing electrode 316 in each needle. 优选地, 每个针电极316的远端还承载温度传感器372 (见图7)。 Preferably, the distal end of each needle electrode 316 also carries a temperature sensor 372 (see FIG. 7).

[0071] 在使用中(见图9),多个损伤的优选模式形成为包括处于几个轴向地隔开的层级(大约隔开5mm)中的损伤的圆周环,每个环包括处于四个四分之一圆(quadrant)中的16个损伤,每4个损伤处于一个四分之一圆中。 [0071] In use (see FIG. 9), preferably a plurality of patterns is formed to include a damage in several axially spaced levels (spaced approximately 5mm) of the circumferential ring damage, each ring comprising at four a quadrant (Quadrant) in 16 injury, damage in a 4 per quadrant. 这些环在齿状线处或其附近沿着肛管轴向地形成。 These rings are formed along the axial direction of the anal canal at or near the dentate line.

[0072] 流体输送设备68传送冷却液以在治疗位置处排出,从而在由针电极316施加能量的同时使粘膜表面冷却。 [0072] The fluid delivery device 68 to discharge the cooling liquid transport at the treatment position, so that the mucosal surface while applying energy cooled by the needle electrode 316. 吸入设备76通过管道78吸取吸入的物质和处理流体以排出。 Suction device 76 and a process fluid suction to draw material through a duct 78 to discharge.

[0073] 参考图9,将这排针电极316定位在层级1处,以在第一四分之一圆中产生4个多样的损伤。 [0073] Referring to Figure 9, these pin electrodes 316 positioned to generate a variety of injuries 4 in the first quadrant at level 1. 如刚刚描述的,当在层级1的第一四分之一圆中令人满意地产生损伤模式时,医生起动按钮64以从棘爪掣62释放锁定棘爪58。 As just described, when in the first quadrant level 1 mode damaged satisfactory, the doctor start button 64 to the latch pawl 62 from the locking pawl 58 is released. 拉杆52回到弹簧加载的中立位置,从而使针电极316移回至其缩回位置。 Rod 52 returned to the neutral position of the spring-loaded, so that the needle electrode 316 is moved back to its retracted position. 仍抓握手柄40并通过观察口46观察,医生使圆筒轴向地向上移动5mm至层级2,第一四分之一圆。 40 and grip handle 46 is still observed through the viewing port, the doctor axially of the cylindrical 5mm moved upward to Level 2, the first quadrant. 医生再次展开针电极48并执行另一损伤产生顺序。 Doctors and deployable needle electrode 48 again performs another sequence generated damage. 医生重复步骤的此顺序,直到在层级1、2、3、4和5中的轴向地隔开的第一四分之一圆内形成额外数量的损伤模式为止。 Repeat this sequence of steps physician, in the first quadrant of axially spaced 1,2,3,4 and 5 until the level of the additional amount of damage formed up mode.

[0074] 仍抓握手柄40并通过观察口46观察,医生回到层级1,并使圆筒42在第一损伤模式94的层级处旋转所选的弧形距离而达到第二四分之一圆,S卩,通过使圆筒42旋转90度。 [0074] 40 and grip handle 46 is still observed through the viewing port, the doctor back to level 1, and cylinder 42 rotates in arcuate distance selected at the first level of the lesion pattern 94 reaches the second quarter round, S Jie, the cylinder 42 is rotated by 90 degrees.

[0075] 医生再次展开针电极48并在层级1的四分之一圆2处执行另一损伤产生顺序。 [0075] Doctor deployable needle electrode 48 again and performs another lesion creating quadrant sequence at Level 1 2. 然后,医生在大体与损伤模式96,98和100 -致的许多轴向地隔开的层级2, 3,4和5处使圆筒轴向地向上移动5_的增量。 Then, generally with the pattern of injury doctor 96, 98 - 2, the cylindrical axially upward movement of the incremental actuation of a plurality of axially spaced apart at the level of 3, 4 and 5 5_. 这样在层级1,2,3,4和5的第二四分之一圆中形成损伤。 Thus is formed a second damage level 3, 4 and 5 in the quadrant.

[0076] 医生将上述顺序额外重复两次,使圆筒回到层级1,以连续的间隔旋转圆筒42并轴向地重新定位圆筒42,以在层级1,2, 3,4和5中形成损伤模式四分之一圆3和4。 [0076] The above sequence additional physician was repeated twice, the cylinder back to level 1, the rotating cylinder at discrete intervals and axially repositioned cylinder 4242, in order to level 1, 2, 3, 4 and 5 lesion pattern is formed in the quadrant 3 and 4. 此方案形成混合损伤模式102,其在目标括约肌组织区域中提供密集的损伤,以激发括约肌组织的期望的收缩。 This lesion pattern 102 to form a mixed scheme, which provides intensive damage to the target tissue region sphincter, sphincter contraction to stimulate the desired tissue.

[0077] III.系统操作 [0077] III. System Operation

[0078] 在所示实施方式中(见图IOA和图IOB),将射频发生器38、具有I/O装置54的控制器52、以及流体输送设备44 (例如用于输送冷却液)集成在单个壳体400内。 [0078] In the illustrated embodiment (see FIG. LOBs and IOA), the RF generator 38 having a controller I / O devices 54, 52, and (e.g. for conveying cooling liquid) are integrated in the fluid delivery device 44 400 within a single housing.

[0079]I/O装置54将控制器52与显示微处理器474接合(见图10A)。 [0079] I / O device 54 and the display controller 52 engaging a microprocessor 474 (see FIG. 10A). 显示微处理器474 在壳体400中与图形显示监控器420接合。 The microprocessor 474 in display housing 400 and the graphics display monitor 420 engages. 控制器52通过显示微处理器474执行图形用户界面,或GUI,所述图形用户界面显示在显示监控器420上。 The controller 52 performed by the display microprocessor 474 a graphical user interface, or the GUI, the graphical user interface displayed on the display monitor 420. 所述图形用户界面可通过使用MSWINDOWrS用程序的传统图形软件实现。 The graphical user interface may be implemented by using a conventional MSWINDOWrS graphics software program. ⑶I424通过在监控器420上显示基本屏幕显示来实现。 ⑶I424 by displaying on the monitor 420 basic screen display to achieve.

[0080]A•设置 [0080] A • Set

[0081] 在启动CPU时(见图11),操作系统对⑶I500执行设置功能。 [0081] When starting CPU (see FIG. 11), the operating system performs setting function ⑶I500. ⑶I显示适当的启动标识和名称图像(未示出),同时控制器52执行自检。 ⑶I display the appropriate logo and name boot image (not shown), while the controller 52 performs a self-test. 一排设置提示502引导操作员以逐步的方式完成使得能够使用发生器和装置所需的任务。 Tip 502 arranged in a row to guide the operator in a stepwise manner such that the task can be completed using the generator and equipment required. 医生可使冷却液体源与装置26a/26b (见图10A,如之前所描述的)的把手上的适当端口接合,并将从冷却液体源(例如装有无菌水的袋子)开始的管道装入泵转子428 (见图10B)中。 Doctor device allows cooling liquid source 26a / 26b (see FIG. 1OA, as previously described) engaging the appropriate port on the handle, and conduit means from a source of cooling liquid (e.g., a bag containing sterile water) start the pump rotor 428 (10B Figure). 医生还可使吸入源46与治疗装置26a/26b(同样如已经描述的)的把手上的适当端口接合。 Doctors also the suction source 46 and treatment device 26a / 26b (the same as already described) to the appropriate port on the handle engagement. 医生还可使膜片电极412与脚踏开关416 (图IOA所示)接合。 The doctor can also make a patch electrode 412 and foot switch 416 (shown in Fig. IOA) engages. 在这排设置提示502中,⑶I500的图形区域显示一个或多个图标和/或字母数字的标记502,这些标记提示操作员连接回路膜片电极412、连接脚踏开关或开关416、连接所选的治疗装置26a(由其商标STRETTA®设计)或26b(由其商标SECCA®设计)、以及起动灌溉泵44。 In this row prompt 502 is provided, the graphics area ⑶I500 display one or more icons and / or alphanumeric indicia 502, which prompts the operator marks a diaphragm connected to the loop electrode 412, or a foot switch connected to switch 416, to connect the selected the treatment device 26a (trademark STRETTA® by design) or 26b (trademark SECCA® by design), and start the irrigation pump 44.

[0082] 控制器52通过读取位于装置26a或26b的把手中的编码识别元件,来确定已经选择以供使用的装置26a或26b。 [0082] The controller 52 of the device 26a or 26b in the hands of coded identification elements, determining means has been selected for use by reading 26a or 26b is located. 在此输入的基础上,控制器52继续对与发生器接合的特定装置26a和26b执行预编程的控制和图形GUI命令功能。 Based on this input, the controller 52 continues to perform pre-programmed control and graphics functions for a particular GUI commands the generator device 26a and the engagement 26b.

[0083] 如果登记的是用于装置26a的识别码(STRETTAr),那么⑶I显示适当的用于装置26a的启动标识和名称图像(见图12)。 [0083] If the identification code is registered (STRETTAr) means 26a, then the appropriate promoter ⑶I displayed name of the image and the identification means 26a (see FIG. 12) is used. 同样地,如果登记的是用于装置26b的识别码(SECCA®),那么GUI显示适当的用于装置26b的启动标识和名称图像(图13)。 Similarly, if the registration of the identification code 26b (SECCA®) means, the GUI displays the appropriate boot logo and name of the image forming apparatus 26b (FIG. 13) is used.

[0084]B•治疗屏幕(UGM和LGUI) [0084] B • Treatment screen (UGM and LGUI)

[0085] 在完成设置操作时,控制器52继续调节发生器和辅助设备,以逐步地继续通过一系列操作模式。 [0085] Upon completion of the setting operation, the controller 52 continues to adjust the generator and auxiliary equipment, to continue through a series of stepwise mode of operation. 已将操作模式预编程为实现所选的装置26a/26b的治疗方案和目的。 Preprogrammed to have the operation mode of the selected device to achieve a therapeutic purpose programs and 26a / 26b of. 这些操作模式的进行和在所选的步骤的进行过程中引导并告诉用户的图形用户界面的外观在装置26a和26b之间可以是不同的。 These guided modes of operation and the selected process steps and tell the user the appearance of the graphical user interface between the device 26a and 26b may be different.

[0086] 为了便于描述,⑶I500对于上胃肠过程(即对于装置26a)显示通常将简称为U⑶I504 (图14A)的治疗屏幕。 [0086] For ease of description, ⑶I500 screen for the parenteral treatment process (i.e. to the device 26a) is generally referred to as a display U⑶I504 (FIG. 14A) of the. 同样地,⑶I对于下胃肠过程(即对于装置26b)显示通常将简称为LGUI506 (图15A)的治疗屏幕。 Similarly, ⑶I process for the parenteral (i.e., to the device 26b) is generally referred to as a display LGUI506 (FIG. 15A) of the treatment screens.

[0087] 在U⑶I504(图14A)和L⑶I506(图15A)中,具有标明冷却流体流速/起动注水(priming)的参数图标462。 [0087] In U⑶I504 (FIG. 14A) and L⑶I506 (FIG. 15A), indicated with a cooling fluid flow rate / priming (priming) of the parameter icon 462. 在U⑶I504和L⑶I506中,流速/起动注水图标462用条的数量显示出所选的泵速,照亮一个条表示低速,照亮两个条表示中速,照亮三个条表示高速。 And L⑶I506 U⑶I504 number, the flow rate / priming icon 462 shows the bar with a selected pump speed, to illuminate a low bar represents, illuminated two bars represent speed, high speed bar represents three illuminated.

[0088] 每个U⑶I504(图14A)和L⑶I506(图15A)包括电极图标466。 [0088] Each U⑶I504 (FIG. 14A) and L⑶I506 (FIG. 15A) includes an electrode icon 466. 通常,每个电极图标466包括理想化的图形图像,所述图形图像在空间上模仿已与控制器42接合的治疗装置26a/26b的特定多电极几何形状。 Typically, each electrode 466 includes icons idealized graphical image, the graphic image spatially mimic treatment device 42 has been engaged with the controller the particular multiple electrode geometry 26a / 26b is. 正如装置26a和26b的多电极几何形状不同一样, 因此,U(iUI504的电极图标466与UiUI506的电极图标466也不同。 As multiple electrode geometry means 26a and 26b of different shapes, like, therefore, U electrode icon (iUI504 UiUI506 electrode 466 and the icon 466 is also different.

[0089] 如图14A所示,在U⑶I504中,在图标466的图形图像中示出了间隔90度的四个电极。 [0089] As shown in FIG. 14A, in U⑶I504, the icon graphic image 466 is shown four electrode interval of 90 degrees. 此图形图像反映了装置26a的四电极结构的几何形状,如图4所示。 This graphic image reflects the geometry of the four-electrode configuration of the device 26a, as shown in FIG.

[0090] 如图15A所示,在LGUI506中,在图标466的图形图像中示出了沿着部分弧形区域处于沿圆周隔开的关系的四个电极。 [0090] As shown in FIG. 15A, in LGUI506, graphic image icon 466 is shown in the four electrodes circumferentially spaced relationship along an arcuate portion of the region. 此图形图像反映了治疗装置26b上的电极的布置, 如图7所示。 This graphic image reflects the arrangement of electrodes on the treatment device 26b, as shown in FIG.

[0091] 对于每个电极,相应的图标466在空间显示中包含图形区域01、02和03。 [0091] For each electrode, the appropriate icon pattern 466 comprises regions 01, 02 and 03 in the display space. 区域Ol 和02显示该电极所遇到的温度情况。 Ol and 02 show the temperature region where the electrode is encountered. 区域Ol用数字显示在U⑶I504 (图14A)和L⑶I 506 (图15A)中感测到的电极头温度的大小。 Ol digital display area size measured to sense the temperature of the tip U⑶I504 (FIG. 14A) and L⑶I 506 (FIG. 15A). 区域02用数字显示对于U⑶I504 (图14A) 和WUI506 (图15A)中的该电极感测到的组织温度。 Digital display area 02 with respect to the sensing electrode in U⑶I504 (FIG. 14A) and WUI506 (FIG. 15A) sensed tissue temperature. 区域03显示对于每个电极得到的阻抗值。 Display area 03 for each electrode resistance value obtained. U(iUI504和IiiUI506都显示来自头电极和组织表面的瞬时感测到的温度读数、以及与区域01、02和03中的电极成空间关系地连续显示的阻抗值。 U (iUI504 and IiiUI506 sensing instantaneous impedance values ​​are displayed from the head electrode and the tissue surface temperature readings sensed, and a spatial relationship to the electrode region 01, 02 and 03 are displayed continuously.

[0092] 对于给定的电极,如果相应的电极/通道已禁用,那么可由医生或由感测到的出界情况取消区域01/02/03的数字显示。 [0092] For a given electrode if the corresponding electrode / channel has been disabled, or may be sensed by the physician to the out of bounds the cancel region 01/02/03 digital display. 还可在区域01/02/03的背景中显示"可接受"颜色指示(例如绿色),只要感测到的情况处于期望的预建立的范围内。 It may also display "acceptable" color indicator (e.g., green) in the region of 01/02/03 context, as long as the situation is sensed in the range of pre-established desired. 然而,如果感测到的情况落在期望的范围之外,那么该颜色指示变成"不期望"颜色指示(例如变成灰色),并取消数字显示。 However, if the sensing range of the sensed case falls outside a desired, then the color indicator becomes "undesirable" color indicator (e.g., grayed out), and cancel the digital display.

[0093] 在每次显示U(iUI504和IiiUI506中,在相应的电极图标466附近,还具有损伤层级图标510。损伤层级图标510包括理想化的图形图像,所述图形图像在空间上模仿期望的损伤层级和每个层级中的损伤的数量。正如装置26a和26b产生的损伤模式不同一样,因此,U(iUI504的损伤层级图标510与UiUI506的电极图标466也不同。 [0093] In each display U (iUI504 IiiUI506 and in the vicinity of the respective electrode icon 466, a graphical image further injury lesion level station icon 510. Icon 510 comprises an idealized graphical image of the desired spatially imitation injury lesion level and the number of each hierarchy. as lesion pattern generating means 26a and 26b as different, and therefore, U lesion level icon 510 (iUI504 UiUI506 the electrode icon 466 is different.

[0094] 如后面将更详细地描述的,损伤层级图标510实时地改变,以逐步地引导医生完成步骤并记录从开始到结束的过程的进展。 [0094] As will be described in more detail later, the lesion level icon 510 change in real time, to gradually guide the physician and record progress through the steps from the start to the end of the process. 在许多基本方面中,用于WUI504和WUI506 的损伤层级图标510的外观和感觉是相似的,但是由于损伤形成的方案的差异它们在植入细节上是不同的。 In many fundamental aspects, the hierarchy icon 510 for WUI504 and damage WUI506 look and feel similar, but due to differences in lesion formation solution on the implant in the details thereof are different.

[0095] 现在将描述用于UGUI504和LGUI506的损伤层级图标510的示例性变化。 [0095] will now be described exemplary variation UGUI504 and damage the station icon 510. LGUI506.

[0096]I.UGUI [0096] I.UGUI

[0097] 在U⑶I504中(见图14A),显示了6个编号的损伤层级1,2, 3,4, 5和6,以与在图5中已经描述和示出的损伤层级相对应。 [0097] In the U⑶I504 (see FIG. 14A), 6 shows damage levels numbered 1, 2, 3, 4, 5 and 6, already described and illustrated in FIG. 5 corresponds to the level of injury. U(iUI504还显示了波浪线514,所述波浪线标记出在此医生已经看见用于在食管内形成损伤以供治疗的所选的解剖基部参考。由U(iUI504 引导,相对于此解剖基部设置损伤。 U (iUI504 514 also shows a wavy line, the wavy line marked for this doctors have seen the formation of lesions in the esophagus for the selected anatomical reference base treatment. By a U (iUI504 guide, relative to this base anatomy setting damage.

[0098] 为治疗做准备,医生使得在食管中能够看见间线(z-line)或其他期望的解剖界标。 [0098] preparation for treatment, the doctor can be seen in the esophagus so that the line (z-line), or other desired anatomical landmarks. 沿着导管以5_的间隔布置标记。 5_ intervals along the conduit arrangement mark. 当能够看见间线时,医生在与此位置相对应的导管上记下外部标记。 When the line can be seen, the doctor in this position corresponding to the note of the catheter external markers. 参考该标记,然后,医生可使导管轴向地前进或缩回与损伤层级之间的期望间隔相对应的5_的增量。 The reference numerals, and then, the doctor can advance or retract the catheter axially corresponding to the incremental 5_ desired spacing between the levels of damage. 在图5中也示出了损伤层级的这种定向。 In FIG. 5 also shows such a damage level orientation.

[0099]U(iUI504通过图形确定损伤层级4, 5和6的位置相对于此解剖基部的方向,显示位于波浪线514下方(低于波浪线)的损伤层级(损伤层级4, 5和6)或位于波浪线514处或位于波浪线上方的损伤层级(损伤层级1,2和3)。 [0099] U (iUI504 lesion level is determined by the patterns 4, 5 and 6 positions relative to this direction of the base of the anatomy displayed lesion level (injury level 514 positioned below the wavy lines (below wavy line) 4, 5 and 6) 514 or located in or on the wavy lines wavy line side of the lesion level (lesion level 1, 2 and 3).

[0100] 如将描述的,根据相应层级内的损伤形成的状态,UGUI504通过图形改变损伤层级的显示。 [0100] As will be described, according to the state of lesion formation within the respective level, UGUI504 damage by changing the display pattern hierarchy.

[0101] 图14A示出了给定损伤层级的代表性第一图形形式。 [0101] FIG. 14A shows a representative lesion level given a first graphical form. 该图形形式包括,例如,UGUI 504上的扁立圆柱体,如在图14A中对于损伤层级1至6所示。 The pattern forms include, for example, on a flat vertical cylinder UGUI 504, as shown for Lesion Level 1-6 in FIG. 14A. 一目了然,该图形形式表示在相应损伤层级中不存在损伤。 At a glance, the graph indicates that there is damage in the form of respective hierarchy injury.

[0102] 如图14A所示,紧挨着损伤层级1的扁立圆柱体(edgewisecylinder)的图形形式的是引导标记512。 [0102] As shown in FIG. 14A, next to the flat vertical cylinder (edgewisecylinder) graphic form Lesion Level 1 is a guide mark 512. 引导标记512表示首先将表示损伤层级1中的损伤的形成。 512 denotes first guide marks indicating the formation of lesions Lesion Level 1. 与损伤层级1的扁立圆柱体相关联地显示数值(15mm),其表示损伤层级1距离解剖界标15mm。 Damage Level vertical cylinder with flat display in association with a numerical value (15mm), which represents Level 1 from damage anatomical landmarks 15mm. 位于波浪线514上方(高于波浪形)的损伤层级1的定向引导医生使导管从解剖标记向上前进15_,以将导管放置在损伤层级1处。 Orientation lesion level located above the wavy line 514 (above undulated) of a guiding catheter physician proceeds upward from 15_ anatomical landmarks to damage the catheter is placed at Level 1. 气囊图标516提示医生在损伤层级1处使装置26a 的篮状物扩展。 Balloon icon 26a of the device 516 prompts the physician of damage at Level 1 basket expansion.

[0103]当感测电极阻抗时,表示与损伤层级1处的组织相接触(或响应表示在期望损伤层级处的装置26a的展开的另一输入),控制器命令U⑶I504将损伤层级1的图形形式变成图14B所示的第二图形形式。 [0103] When the sensing electrode impedance, Lesion Level 1 represents the contact with the tissues (or another response indicates that the input level at the desired deployment apparatus 26a of the injury), the controller will command U⑶I504 damage pattern 1 Level graphical form into a second form shown in FIG. 14B. 第二图形形式(图14B所示)与第一图形形式(图14A所示) 不同。 Form and a second pattern form a first pattern (FIG. 14B) (FIG. 14A) are different. 该图形形式包括,例如,分段圆,紧挨着该分段圆具有数字指示。 The pattern forms include, for example, a circle segment, next to the circle segment having a digital indication. 这在图14B中对于损伤层级1示出。 This Lesion Level 1 is shown in FIG. 14B. 在视觉效果上,第二图形形式示出了沿着其轴线旋转以供观察的之前的圆柱体形式。 Visual effect, form a second pattern shows a form of a cylinder along its axis of rotation for the previously observed. 所示区段的数量(在图14B中,具有8个区段)与将在损伤层级1处形成的损伤的数量相对应。 The number of zones shown (in FIG. 14B, having eight segments) and the number of lesions to be formed at a level corresponding to the injury.

[0104]在图14B中,圆的所有区段都没有标记。 [0104] In Figure 14B, all the circle sections are not marked. 一目了然,该图形形式表示:(i)现在表示在该损伤层级处形成损伤(由于损伤层级图标的轴向圆形视图将形成沿圆周隔开的8个损伤(由于区段的数量);(iii)尚未形成损伤(由于在区段中没有其他标记)。 At a glance, the graphic form: (i) now represents the formation of lesions at the level of the lesion (due to the axial view hierarchy icon circular lesion formed circumferentially spaced 8 injury (due to the number of segments); (iii ) injury has not been formed (since there is no other markers in the section).

[0105]还改变标记512的位置,以与损伤层级2对准,具有5mm的数字指示。 [0105] further change flag position 512, Level 2 is aligned with the injury, with a digital indication of 5mm. 这告诉医生: 在损伤层级1后,下一待治疗的损伤层级是位于损伤层级1下方(低于该损伤层级)5mm的损伤层级2。 This tells the doctor: Level 1 after injury, damage to the next level to be treated is located below the injury level 1 (below the injury level) 5mm Lesion Level 2.

[0106]通过定位在损伤层级1处的装置26a,医生在第一预置周期内起动电极。 [0106] 26a by locating means at Lesion Level 1, the physician actuates the electrode in a first pre-set period. 当在给定层级上继续治疗时,气囊图标516消失。 When continued treatment on a given level, balloon icon 516 disappears. 定时器图标518表示在预置周期内施加射频能量。 Timer icon 518 represents RF energy is applied within a preset period. 在此预置周期结束时(见图14C),治疗标记(例如圆点)出现在图形分段圆的四个区段中,表示第一四个损伤的形成、及其空间定向。 At the end of this pre-set period (see FIG. 14C), the treatment mark (e.g. dots) appeared in the four segments of a circle segment pattern, showing a first form of four lesions, their spatial orientation.

[0107] 分段圆中剩余的没有治疗标记的区段提示医生将篮状物旋转45度,并第二次起动电极。 [0107] circle segment remaining without treatment prompts the physician to mark the section of the basket rotated by 45 degrees, and the second starting electrode. 在预置周期(通过定时器图标518跟踪)后(见图14D),更多的治疗标记(圆点)出现在圆的剩余区段中。 In the pre-set period (a timer icon 518 by trace) and after (see FIG. 14D), more treatment markers (dots) appeared in the remaining section of the circle. 这表示,已经形成为损伤层级1指定的所有损伤,使篮状物收缩并移动至下一治疗层级。 This indicates that all lesions have been formed to a specified level of damage, so that contraction of the basket and move to the next level of treatment. 所显示的标记512将医生引导至位于损伤层级1下方5_的损伤层级2。 The mark 512 is displayed to guide the physician Lesion Level 1 Level 2 located below 5_ of injury. 气囊图标516可重新出现,以提示医生使气囊收缩。 Balloon icon 516 may re-appear, prompting doctors to make the balloon is deflated.

[0108]从而,提示医生使篮状物收缩,移动至损伤层级2,并使篮状物扩展。 [0108] Accordingly, it prompts the physician so that the basket contracted to move Lesion Level 2, and the basket expansion. 如图14E所示,当感测电极阻抗时,表示与损伤层级2处的组织相接触,UGUI504将损伤层级1 的图形形式变回至扁立圆柱体。 As shown in FIG. 14E, when the sensing electrode impedance, and the damage level of 2 indicates contact with the tissues, UGUI504 damage the graphical form for level 1 back to the flat vertical cylinder. 用于损伤层级1的扁立圆柱体包括一指示,例如勾号(checkmark),以表示已经治疗损伤层级1 (如图14E所示)。 Stand for flat cylinder 1 includes a damage level indication, such as a tick (Checkmark), to indicate that treatment has Lesion Level 1 (FIG. 14E). 治疗完成指示的插入是UCTJI 504显示以向医生传达状态信息的又一图形形式。 Indicates the completion of the treatment insertion UCTJI 504 show yet another graphic form to convey status information to the doctor.

[0109]还参考图14E,当感测电极阻抗时,表示与损伤层级2处的组织相接触,U⑶I504 将损伤层级2的图形形式变成第二图形形式,包括,例如已经描述的分段圆。 [0109] Referring also to FIG. 14E, when the sensing electrode impedance, and the damage level of 2 indicates contact with the tissues, U⑶I504 the graphical form of Lesion Level 2 becomes a second graphical form, including, for example, a circle segment has been described . 这在图14E中对于损伤层级2示出。 This damage Level 2 shown in FIG. 14E. 还改变标记512的位置,以与损伤层级3对准,具有5_的数字指示。 Also change flag position 512, Level 3 is aligned with the injury, with a digital indication 5_. 这告诉医生:在损伤2后,下一损伤层级将是位于损伤层级2下方(低于该损伤层级)5_的损伤层级3。 This tells the doctor: 2 after injury, damage to the next level will be located below the injury level 2 (below the injury level) Lesion Level 3 5_.

[0110] 如图14F和图14G所示,通过定位在损伤层级2处的装置26a,医生在第一预置周期内起动电极,然后将装置26a旋转45度,并在第二预置周期内起动电极。 [0110] FIG. 14F and FIG. 14G, 26a by the positioning, starting at the doctor apparatus 2 is in a first damage level electrode preset period, then the device 26a rotated 45 degrees, and the second preset period starting electrode. 定时器图标518 反映在预置周期内施加射频能量,并对图形分段圆的区段增加治疗标记(例如圆点),表示第一四个损伤(图14F)和下一四个损伤(图14G)的形成、及其空间定向。 Timer icon 518 reflecting the application of radio frequency energy within the preset period, increasing the therapeutic section marker segments and circle pattern (e.g., dots), representing the first four lesions (FIG. 14F) and the next four lesions (FIG. 14G) is formed, and their spatial orientation.

[0111] 当在损伤层级2中形成8个损伤时,气囊图标518再次出现。 [0111] When forming eight damage Lesion Level 2, the balloon icon 518 reappears. 这表示,已经形成为损伤层级2指定的所有损伤,使篮状物收缩并移动至下一治疗层级。 This indicates that all had formed 2 injury lesion level specified, that the contraction of the basket and move to the next level of treatment. 所显示的标记512将医生引导至位于损伤层级2下方5mm的损伤层级3。 The mark 512 is displayed to guide the physician Lesion Level 2 Level 3 located below the damage of 5mm.

[0112] 从而,提示医生使篮状物收缩,移动至损伤层级3,并使篮状物扩展。 [0112] Accordingly, it prompts the physician so that the basket contracted to move Lesion Level 3, and the basket expansion. 当感测电极阻抗时,表示与损伤层级3处的组织相接触(见图14H),UGUI504将损伤层级2的图形形式变回至扁立圆柱体(如图14H所示)。 When the sensing electrode impedance, and the damage Level 3 indicates contact with the tissues (see FIG. 14H), UGUI504 the graphical form of Lesion Level 2 back to the flat vertical cylinder (shown in FIG. 14H). 用于损伤层级2的扁立圆柱体现在包括一指示,例如勾号,以表示已经治疗损伤层级2 (也如图14H所示)。 Flat vertical cylinder for Lesion Level 2 now includes an indication, for example a tick to indicate that treatment has Lesion Level 2 (also shown in FIG. 14H).

[0113] 还如图141所示,当感测电极阻抗时,表示与损伤层级3处的组织相接触,U⑶I 504将损伤层级3的图形形式变成第二图形形式,包括,例如已经描述的分段圆。 [0113] Also represented in Figure 141, when the sensing electrode impedance, expressed in contact with tissue damage at levels 3, U⑶I 504 will damage Level 3 graphical form into a second graphical form, including, for example, has been described segmented circle. 这在图14H 中对于损伤层级3示出。 This damage Level 3 is shown in FIG. 14H. 还改变标记512的位置,以与损伤层级4对准,具有5_的数字指示。 Also change flag position 512, aligned with the damage level 4, with a digital indication 5_. 这告诉医生:在损伤3后,下一损伤层级将是位于损伤层级3下方(低于该损伤层级) 5mm的损伤层级4〇 This tells the doctor: 3 after injury, damage to the next level will be located below the injury level 3 (below the injury level) 5mm damage level 4〇

[0114] 医生继续在损伤层级3中形成8个损伤(图141和图14J),然后移动至损伤层级4(未示出,但是遵循与已经描述的相同的进程)。 [0114] The doctor continues to form the 8 injury damage Level 3 (FIG. 141 and FIG. 14J), and then moves to the lesion level 4 (not illustrated, but follow the same process has been described in connection with). U(iUI504始终在视觉上记录并确认进程。 如图14K所示,当已在相应的层级上形成期望数量的损伤并已完成该层级的治疗时,用于损伤层级3和4的图形损伤层级圆柱体回到扁立圆柱体。此时,勾号出现在扁立圆柱体上, 表示对于损伤层级1,2,3和4已完成该层级处的治疗(如图14K所示)。 U (iUI504 always recorded visually confirm and process shown in Figure 14K, when the desired number of lesions formed on the respective level of the hierarchy and has completed treatment for injury pattern damage Level Level 3 and 4 Back flat cylindrical vertical cylinder. at this time, the check mark appears in the vertical flat cylinder, represents 1,2,3 and 4 for the treatment of lesion level at the level (shown in FIG. 14K) has been completed.

[0115] 如图14K至图14N所示,在损伤层级5和6上,分段圆中的区段共有12个,表示将在这些层级上形成12个损伤。 [0115] FIG 14K to FIG 14N, on the damage level 5 and 6, a total of segment circle segment 12, 12 formed shows a damage on these levels. 在层级5和6中,具有沿圆周隔开30度的12个损伤(S卩,第一能量施加,然后是篮状物56的30度旋转,然后是第二能量施加,然后是篮状物56的30 度旋转,然后是第三能量施加)。 5 and 6 in the hierarchy, 30 having circumferentially spaced 12 degrees injury (S Jie, energy is applied first, then the 30-degree rotation of the basket 56, then the second application of energy, then the basket 56 30 degree rotation, then a third application of energy). 在层级5中,仅使气囊结构部分地扩展,而在层级6中,气囊结构72使更完全地扩展,以根据贲门漏斗中可用的漏斗形状的空间提供周长增加的损伤模式。 In level 5, only partially expand the balloon structure, and in the hierarchy 6, the airbag 72 makes the structure more fully extended to provide a spatial perimeter cardia funnel-shaped funnel available increased lesion pattern.

[0116]U⑶I504反映治疗的完成(见图140)。 Complete [0116] U⑶I504 reflect treatment (see FIG. 140).

[0117] 因此,通过有目的地操纵不同的程式化图形图像,U(iUI504在视觉上提示医生逐步地执行形成包括多个轴向地隔开的损伤层级的损伤模式的过程,每个损伤层级包括多个沿圆周隔开的损伤。当在每个沿圆周隔开的层级内及其间实时地产生损伤时,UGUI504记录损伤的形成。因此,U(iUI504向医生显示从开始到结束的过程的进展的直观记录。U(iUI 504确保不遗漏在给定层级内期望的各个损伤,或确保不遗漏给定层级的损伤。 [0117] Thus, by manipulating different destinations stylized graphical image, U (iUI504 visually prompts the physician progressively forming process performed lesion pattern comprising a plurality of axially spaced damaging of the hierarchy, each level of damage comprises a plurality of circumferentially spaced injury. damaged when its real time between within each circumferentially spaced level, UGUI504 recording lesion formation. Thus, U (iUI504 the doctor to show the process from start to finish of visual record .U progress (iUI 504 to ensure that no omissions in a given individual lesions desired level, or make sure not to miss a given level of damage.

[0118] 在U⑶I508中,每个损伤层级1至6最初由第一程式化图形图像图示,该第一程式化图形图像包括具有其层级的数字识别的扁立圆柱体。 [0118] In U⑶I508, each lesion level 1-6 stylized initially by the first graphic image illustrated, the first image including stylized graphical hierarchy having a number of flat identify vertical cylinder. 当表示在给定层级处形成损伤时,UGUI504将第一程式化图形图像变成与第一图像不同的第二程式化图形图像,该第二程式化图形图像包括圆柱体的轴向视图,呈现分段圆,具有与将形成的损伤的数量相对应的区段的数量。 When said in the formation of lesions at a given level, UGUI504 first stylized graphical image becomes different from the first image a second stylized graphic image, the second image including stylized graphical view of an axial cylindrical body, showing circle segment, having a number of the injury to be formed corresponding to the segment. 还与下一将处理的损伤层级(仍显示为扁立圆柱体)并置(juxtapose)地呈现具有表示下一将处理的损伤层级距离当前损伤层级的距离的数字的标记。 Also damage the next level of processing (still shown as flat vertical cylinder) juxtaposed (Juxtapose) has rendered represents a next-level tagging damage the processed digital distance from the current level of damage. 当医生操纵装置26a以在所指示的层级上形成损伤时,第二图形图像还变成与第一或第二图像不同的第三图形图像,通过在分段圆内增加标记以反映损伤的形成,以引导医生连续地旋转并在损伤层级处操纵装置26a。 When the doctor operating device 26a to the formation at the level of injury indicated, the second and the third graphical image further into the first or second graphic image different from the image, by increasing the circle mark within the segment to reflect the formation of lesions , to guide the physician to manipulate and rotate continuously at the level of injury means 26a. 当在给定层级上形成期望的损伤模式时,U(iUI504再次将第三图形图像变成与第一、第二和第三图形图像不同的第四图形图像,包括具有其层级的数字识别的扁立圆柱体、以及表示已在相应层级处形成所有期望损伤的另一指示(例如勾号)。连续地更新标记512,以将医生引导至下一损伤层级。这样,U(iUI504提示在层级1,2,3和4 中形成沿圆周隔开45度的8个损伤,并在层级5和6形成沿圆周隔开30度的12个损伤。 When forming the desired lesion pattern over a given level, U (iUI504 again the third and the fourth graphic image into graphic image first, second and third different graphic images, which comprises a digital identification of the hierarchy flat vertical cylinder, and another indication indicates to form all the desired lesions (e.g. tick) at the corresponding level. continually update flag 512, to guide the physician to the next level of injury. Thus, U (iUI504 prompt level 2, 3 and 4 are formed in circumferentially spaced 45 degrees 8 injury, and is formed circumferentially spaced 30 degrees 12 damage level 5 and 6.

[0119] 2.LGUI [0119] 2.LGUI

[0120] WUI506(图15A)产生引导医生操作装置26b以在肛管中形成指定损伤模式的图形用户显示,如图9所示。 [0120] WUI506 (FIG. 15A) generates the operation guide device 26b physician user to graphically display the specified lesion pattern is formed in the anal canal, as shown in FIG. 损伤模式包括轴向地隔开的多个损伤层级(在所示实施方式中, 标号为1至5),每个损伤层级包括沿圆周隔开的多个损伤(在所示实施方式中,具有16个损伤,布置为4个一组)。 Injury lesion pattern comprising a plurality of axially spaced levels (in the illustrated embodiment, reference numerals 1 to 5), each level comprising a plurality of Injury Injury of circumferentially spaced apart (in the embodiment shown, having 16 damage, is arranged in groups of four).

[0121]L⑶I506 (见图15A)的显示示出了与将在肛管中形成的多个损伤层级相应的损伤层级1,2, 3,4和5。 [0121] L⑶I506 (see FIG. 15A) of the display shows a plurality of damage formed in the anal canal lesion level hierarchy corresponding 1, 3, 4 and 5. 将损伤层级1至5显示为编号为1至5的分段圆盘,这些分段圆盘在其轴线上稍微倾斜,并一个布置在另一个之上。 The damage appears as Level 1 to 5 segments numbered from 1 to 5 of the disk, the segments are slightly inclined disc on its axis and arranged one above the other. 每个圆盘分成四个四分之一圆。 Each disk is divided into four quarter-circle.

[0122]IiiUI506还示出了(见图15A)齿状波浪线514。 [0122] IiiUI506 also shows (see FIG. 15A) dentate wavy line 514. 为治疗做准备,医生使得在肛管中能够看见齿状线或其他期望的解剖界标。 Preparing for the treatment, so doctors can see the dentate line in the anal canal or other desired anatomical landmarks. 沿着装置26b的圆筒以5_的间隔布置标记。 26b along the cylinder means spaced marks to the 5_. 当能够看见齿状线时,医生在与此位置相对应的圆筒上记下外部标记。 When the dentate line can be seen, the doctor in this position corresponding to the note of the cylindrical external markers. 参考该标记,然后, 医生可使圆筒轴向地前进或缩回与损伤层级之间的间隔相对应的5mm的增量。 The reference numerals, and then, the doctor can make a cylindrical axially advance or retract the spacing between the increments corresponding to the lesion level of 5mm.

[0123]紧挨着损伤层级1的圆盘的图形形式的是引导标记512 (见图15A)。 [0123] Injury next level of the disk 1 is a graphical form guide marks 512 (see FIG. 15A). 引导标记512表示将表示损伤层级1中的损伤的形成。 512 shows a guide mark indicates formation of lesions Lesion Level 1. 与损伤层级1的扁立圆柱体相关联地显示数值(5mm),其表示损伤层级1距离解剖界标5mm。 Damage Level vertical cylinder with flat display in association with a numerical value (5mm), which represents Level 1 from damage anatomical landmarks 5mm.

[0124] 在图15A中,损伤层级圆盘的所有四分之一圆都没有标记。 [0124] In FIG 15A, all quadrant disk damage level are not marked. 一目了然,该图形形式表示:(i)现在表示在损伤层级1处形成损伤(由于标记512的位置);以及(ii)尚未形成损伤(由于在四分之一圆中没有标记)。 At a glance, the graphic form: (i) at now represents the formation of lesions Lesion Level 1 (since the mark position 512); and (ii) not formed injury (since there is no mark in the quadrant).

[0125] 装置26b包括以圆弧布置的一排四个针电极,可使这些针电极前进和缩回(见图6)。 [0125] means 26b comprises a row of four needle electrodes arranged in an arc, which can advance and retract the needle electrodes (see FIG. 6). 将这排针电极定位在层级1处,与四分之一圆1对准,并使这些针电极前进。 These rows of needle electrodes positioned at level 1, and 1 quarter-circle aligned, and these needle electrodes forward. 医生在第一预置周期内起动电极。 Physician actuates the electrode in a first pre-set period. 定时器图标518示出了在预置周期内施加射频能量。 Timer icon 518 shows the application of RF energy within a preset period. 在此预置周期结束时,治疗标记(例如四个圆点)出现在图形分段圆盘的第一四分之一圆中(见图15B), 表示第一四个损伤的形成、及其在第一四分之一圆中的空间定向。 At the end of this pre-treatment cycle markers (e.g., four dots) appeared in the first quarter-circle pattern segment disk (see FIG. 15B), showing a first form of four lesions, and space in the first quadrant orientation.

[0126] 还改变标记512的位置,以与损伤层级2对准,具有5mm的数字指示。 [0126] further change flag position 512, Level 2 is aligned with the injury, with a digital indication of 5mm. 这告诉医生: 在损伤层级1后,下一个损伤层级将是位于损伤层级1上方(高于该损伤层级)5mm的损伤层级2。 This tells the doctor: Level 1 after injury, damage to the next level will be located above the injury level 1 (higher than the lesion levels) 5mm Lesion Level 2.

[0127]如刚刚描述的,并如由标记512 (现在与损伤层级2对准)所提示的,当在层级1的第一四分之一圆中令人满意地产生损伤模式时,医生起动按钮以使针电极移回至其缩回位置。 [0127] As just described, and as indicated by the numerals 512 (2 are now aligned with the lesion levels) suggests, when the level in the first quadrant of a damaged mode satisfactorily, the doctor started button so that the needle electrode is moved back to its retracted position. 仍抓握手柄并通过观察口观察,医生使圆筒轴向地向上移动5_至层级2,保持通过旋转对准在第一四分之一圆中。 Still observe the observation port and the grip handle by the doctor axially of the cylindrical 5_ moved upward to level 2, held by the rotational alignment in the first quadrant. 医生再次使针电极展开并执行另一损伤产生顺序。 Doctors once again the needle electrode damage and executes another generation sequence. 还改变标记512的位置,以与损伤层级3对准,具有5_的数字指示。 Also change flag position 512, Level 3 is aligned with the injury, with a digital indication 5_. 这告诉医生:在损伤层级2后, 下一个损伤层级将是位于损伤层级2上方(高于该损伤层级)5_的损伤层级3。 This tells the doctor: Level 2 after injury, damage to the next level will be above the lesion level 2 (higher than the lesion level) Level 3 5_ of injury. 治疗标记(例如四个圆点)出现在损伤层级2的图形分段圆盘的第一四分之一圆中(见图15C),表示形成四个损伤、及其在第一四分之一圆中的空间定向。 Treatment marker (e.g., four dots) appeared in the damage level graphics segment disc 2 a first quadrant (see FIG. 15C), showing four lesions are formed, and in the first quarter space circle orientation.

[0128]医生重复此步骤的顺序,直到在层级2、3、4和5中的轴向地隔开的第一四分之一圆内形成额外数量的损伤模式为止(见图15D、图15E和图15F)。 [0128] This sequence of steps is repeated the doctor, an additional amount of damage formed in the first mode until the quadrant level 3, 4 and 5 spaced apart axially in so far (see FIG. 15D, FIG. 15E and FIG. 15F). 还改变标记512的位置, 以与连续的损伤层级对准,以将医生引导至该损伤层级。 512 also changes the position of the mark, with the continuous lesion level aligned to the physician is guided to the lesion level. 治疗标记(例如四个圆点)出现在损伤层级2,3,4和5的图形分段圆盘的第一四分之一圆中(见图15F),表示形成四个损伤、 及其在第一四分之一圆中的空间定向。 Treatment marker (e.g., four dots) appeared in the damage level pattern segment 3, 4 and 5 of the first quadrant of the disc (see FIG. 15F), showing four lesions are formed, and in space first quadrant orientation.

[0129] 当在损伤层级5的四分之一圆1中形成四个损伤时,标记512回到损伤层级1(见图15F),提示医生回到损伤层级1,并再次使圆筒在损伤层级1处旋转所选的弧形距离,以与第二四分之一圆对准,即,通过使圆筒旋转90度。 [0129] When forming four quadrant injury damage in the hierarchy 15, a mark 512 back Lesion Level 1 (see FIG. 15F), prompts the physician to return to Level 1 damage, and damage in the cylinder again level 1 is rotated at a selected distance from the arc, it is aligned with the second quadrant, i.e., 90 degrees by rotating the barrel.

[0130] 由LGUI506引导,医生再次使针电极展开并在层级1的四分之一圆2处执行另一损伤产生顺序。 [0130] LGUI506 guided by the doctor again and executes the needle electrode to generate a further sequence of damage at levels 1 to 2 quadrant. 由WUI506引导(如图15G所示),并遵循标记512,然后医生使圆筒轴向地向上移动5mm的增量,在损伤层级2的四分之一圆2之后,然后是损伤层级3的四分之一圆2、损伤层级4的四分之一圆2、以及损伤层级5的四分之一圆2。 WUI506 by the guide (as shown in FIG. 15G), and follow the mark 512, then the doctor axially of the cylindrical 5mm increment of upward movement, after injury Level quadrant 22, and then is Lesion Level 3 2 quarter-round, quarter-round 24 level injury, and damage level 5 of the quadrant 2. 在每个损伤层级处,医生使针电极展开并在相应层级的四分之一圆2处执行另一损伤产生顺序。 At the level of each lesion, the physician so that the needle electrodes further damage and executes sequentially generated at a level corresponding quadrant 2. 当在每个损伤层级形成损伤后,治疗标记(例如四个圆点)出现在损伤层级2, 3,4和5的图形分段圆盘的第二四分之一圆中(见图15G),表示形成四个损伤、及其在第二四分之一圆中的空间定向。 When the level of injury is formed in each of the injury, the treatment of marker (e.g., four dots) appeared in Lesion Level 2, the second quarter-disc pattern segment 3, 4 and 5 in a circle (see FIG. 15G) indicating formation of four lesions, and their spatial orientation in the second quadrant.

[0131] 当在损伤层级5的四分之一圆2中形成四个损伤时,标记512回到损伤层级1。 [0131] When forming four quadrant damage Damage Level 2 5, a mark 512 Level 1 back injury. 医生回到损伤层级1,并再次使圆筒在损伤层级1处旋转所选的弧形距离,以与第三四分之一圆对准,即,通过使圆筒旋转90度。 The doctor back Lesion Level 1, and again at the cylinder 1 is rotated at a selected distance from the arcuate damage level, aligned with the third quadrant, i.e., 90 degrees by rotating the barrel.

[0132] 由L⑶I506引导(见图15H),医生再次使针电极48展开并在层级1的四分之一圆3处执行另一损伤产生顺序。 [0132] guided by the L⑶I506 (see FIG. 15H), the doctor again to the needle electrode 48 and executes other damage generated sequentially at quadrant 3 for level 1. 治疗标记(例如四个圆点)出现在损伤层级1的图形分段圆盘的四分之一圆3中,表示形成四个损伤、及其在第三四分之一圆中的空间定向。 Quadrant marked 3 of treating (e.g., four dots) appeared in the damage level pattern segment disk 1, showing formation of four lesions, and their spatial orientation in the third quadrant.

[0133]如图15H所示,由L⑶I506引导,并遵循标记512,当该标记随着每个层级处的损伤形成而前进时,然后医生使圆筒轴向地向上移动5mm的增量,在损伤层级2的四分之一圆3之后,然后是损伤层级3的四分之一圆3,然后是损伤层级4的四分之一圆3、以及损伤层级5的四分之一圆3。 [0133] As shown in FIG 15H is moved upward by the guide L⑶I506, and follow the mark 512, when the flag as damage at each level formed is advanced, the cylinder and the doctor axially of 5mm increments, in after a quarter of a circle Lesion level 32, followed by damage level quarter round 33, followed by a quarter of a circle 34 level injury, and damage level of quarter-round 35. 在每个损伤层级处,医生使针电极展开并在相应层级的四分之一圆3 处执行另一损伤产生顺序。 At the level of each lesion, the physician so that the needle electrodes further damage and executes sequentially generated at level 3 corresponds quadrant. 治疗标记(例如四个圆点)出现在损伤层级2,3,4和5的图形分段圆盘的第三四分之一圆中(见图15H),表示形成四个损伤、及其在第三四分之一圆中的空间定向。 Treatment marker (e.g., four dots) appeared in the damage level pattern segment 3, 4 and 5 the third quadrant of the disc (see FIG. 15H), showing four lesions are formed, and in space third quadrant orientation.

[0134] 医生将上述顺序额外重复一次,使圆筒回到损伤层级1,并使圆筒旋转90度以与损伤层级1的四分之一圆4对准(见图151)。 [0134] The above sequence physician repeated one additional time, the cylindrical back Lesion Level 1, and rotated a quarter cylinder 90 degrees with the circle 4 Lesion Level 1 is aligned (see FIG. 151). 医生在层级1,2,3,4和5中形成损伤模式四分之一圆4。 Doctors quarter-circle pattern formation damage level 4 in 1, 2 and 5. 治疗标记(例如四个圆点)出现在损伤层级1,2,3,4和5的图形分段圆盘的第四四分之一圆中(见图15B),表示形成四个损伤、及其在第二四分之一圆中的空间定向。 Treatment marker (e.g., four dots) in the fourth quarter of the damage level and pattern segment 1,2,3,4 circular disc 5 (see FIG. 15B), showing formation of four lesions, and its space in the second quadrant orientation. 另夕卜,通过在每个损伤层级处在第四四分之一圆中形成损伤,代表损伤层级的每个四分之一圆由四个圆点标记(表示损伤产生的完成)的图形圆盘变成另外包括一指示,例如勾号,以指示已经治疗相应的损伤层级(见图151)。 Another pattern Bu Xi, by forming a lesion in the fourth quadrant at each injury level, each quadrant of the representative levels of damage by four dot mark (indicating the completion of lesion creation) round into another plate comprises an indicator, for example a tick to indicate that the corresponding has been treated lesion level (see FIG. 151).

[0135] 如上所述,WUI506在视觉上以逐步的形式提示用户执行在肛管中形成损伤模式的过程,该模式包括多个轴向地隔开的损伤层级,每个损伤层级包括多个沿圆周隔开的损伤。 [0135] As described above, WUI506 visually prompt the user performs a stepwise form in the process of forming the anal canal lesion pattern, the pattern comprising a plurality of axially spaced lesion levels, each level comprising a plurality damage circumferentially spaced injury. 当在每个沿圆周隔开的层级内及其间实时地产生损伤时,LGUI506记录损伤的形成。 When real-time between the damaged and within each circumferentially spaced level, LGUI506 formation of lesions recorded. WUI506向用户显示从开始到结束的过程的进展的直观记录,引导用户完全形成在给定层级内期望的各个损伤,并不遗漏给定层级的损伤。 WUI506 intuitive display to progress from the start of the recording process to the end user, are all formed to guide the user within a given level of each of the desired injury, damage is not given missing hierarchy.

[0136]L⑶I506的每个损伤层级1至5由第一程式化图形图像图示,该第一程式化图形图像包括具有其层级的数字识别的边缘倾斜的圆盘。 Each lesion level [0136] L⑶I506 1 to 5, the first graphic image illustrated in stylized, graphics image including stylized the first edge having an inclined disc which digital identification hierarchy. 与在其中将形成损伤的区域相对应地分割圆盘。 In which the region corresponding to the formation of lesions divided disc. 还与下一将处理的损伤层级并置地呈现具有表示下一将处理的损伤层级距离当前损伤层级的距离的数字的标记。 Further damage to the next level of processing has rendered juxtaposed next represents the processed digital damage level tagging distance from the current level of damage. 当医生操纵装置26b以在所指示的层级上形成损伤时, 第二图形图像还变成与第一图像不同的第二图形图像,通过在分段圆内增加标记以反映损伤的形成,以引导医生在损伤层级处连续地操作装置。 When the doctor operating device 26b are formed at the level of injury indicated, the second graphic image into a second pattern image and the further image different from the first, by increasing the circle mark within the segment to reflect the formation of lesions, to guide the doctor device is continuously operated at the level of injury. 当形成期望的损伤模式时,UGUI506 再次将第二图形图像变成与第一、第二图形图像不同的第三图形图像,该第三图形图像包括表示已在该层级处形成所有期望损伤的指示(例如勾号)。 When forming the desired lesion pattern, UGUI506 again indicating a second graphic image into a first, a second pattern different from the third image is a graphic image, the graphic image comprises a third forming all desired indicates damage in the hierarchy at (e.g., checkmark). 更新标记512,以将医生引导至下一损伤层级。 Update flag 512, to guide the physician to the next level of injury. 这样,UGUI506提示在层级1,2,3,4和5中形成沿圆周隔开的每组四个损伤的四组损伤(总共12个损伤)。 Thus, UGUI506 injury suggesting formed four groups (total of 12 lesions) injury sets of four circumferentially spaced 1,2,3,4 and 5 in the hierarchy.

Claims (21)

  1. 1. 一种图形用户接口,包括: 控制器,所述控制器用于在视觉上以逐步的方式提示用户执行在身体区域中形成一种损伤模式的过程,所述损伤模式包括多个轴向地隔开的损伤层级,每个损伤层级包括多个沿圆周隔开的损伤,并且所述控制器还包括用于当在每个沿圆周隔开的层级内及其间产生损伤时实时地记录损伤的形成的装置,从而所述控制器通过根据相应层级内的损伤形成的状态而图形改变所述损伤层级的显示以向所述用户显示从开始到结束的过程的进展的直观记录从而引导用户,使得完全形成在每个期望层级内期望的各个损伤。 A graphical user interface comprising: a controller for visually prompts in a stepwise manner during the formation of a lesion pattern performed by the user in the body region, the lesion pattern comprises a plurality of axially spaced lesion level, each level comprising a plurality damage circumferentially spaced injury, and the controller further includes means for, when damaged and between circumferentially spaced within each tier record in real time damage means formed, so that the controller formed in accordance with the state of damage within the respective level and changing the graphical display to display the lesion levels from the beginning to the end of the progress of a recording process intuitive to the user to guide the user, such that fully formed at a desired level within each individual lesions desired.
  2. 2. 如权利要求1所述的图形用户接口,还包括:用于在每个损伤层级处产生具有其层级的数字识别的第一程式化图形图像的装置;用于产生与所述第一程式化图形图像不同的第二程式化图形图像的装置,所述第二程式化图形图像在表示在给定层级处形成损伤时产生并还示出了将在该层级处形成的损伤的数量;用于将所述第二程式化图形图像变成与所述第一程式化图形图像或所述第二程式化图形图像不同的第三图形图像的装置,所述第三图形图像包括附加标记以实时地反映损伤的形成;以及用于当在相应的损伤层级上形成期望的损伤模式时产生与所述第一程式化图形图像、所述第二程式化图形图像和所述第三图形图像不同的第四图形图像的装置,所述第四图形图像包括一指示以表示已在所述层级处形成所有期望的损伤,并且所述控制器还包括用于产生 2. The graphical user interface according to claim 1, further comprising: means for generating a stylized image of the first pattern identification numbers in its level of damage at each level; means for generating said first program different means of a second graphic image stylized graphics image, the second image pattern representation generator stylized and also shows the number of lesions formed in the hierarchy at the time of forming damage at a given level; with in the second stylized graphical image becomes stylized graphic means and the first image or the second image is different from the third graphic stylized graphics image, the third image pattern comprises additional marks in real time reflect the formation of lesions; and means for generating, when a desired lesion pattern is formed on the respective first damage level of the stylized graphics image, the second image and the third pattern stylized graphic images of different fourth means graphic image, the graphic image comprises a fourth indication to indicate that all the damage that has already formed in the hierarchy at a desired, and the controller further comprises means for generating 一标志的装置,所述标志将所述用户引导至待治疗的下一损伤层级并在治疗连续损伤层级时更新。 Means a flag, the flag will guide the user to the next level of injury to be treated and continuously updated in the treatment of injury level.
  3. 3. 如权利要求1所述的图形用户接口,其用于与如下内容一起使用: 一类治疗装置,至少包括旨在单独运用在不同组织区域中的第一治疗装置和与所述第一治疗装置不同的第二治疗装置, 控制器,包括一连接器,所述第一治疗装置或所述第二治疗装置中的所选的一个治疗装置接合至所述连接器以供使用,所述控制器包括用于识别所述第一治疗装置和所述第二治疗装置中的哪个治疗装置已被连接的装置, 所述控制器还包括一操作系统,以仅当所述第一治疗装置被连接时在显示屏上执行引导使用所述第一治疗装置的第一图形接口,并且仅当所述第二治疗装置被连接时在所述显示屏上执行引导使用所述第二治疗装置的第二图形接口,所述第二图形接口至少部分地不同于所述第一图形接口,对于所述第一图形接口和所述第二图形接口中的至少一个,所述控 3. The graphical user interface according to claim 1, for use with the following: one treatment device comprising at least intended to separate different tissue regions used in the first treatment with the first treatment device and It means different second therapeutic apparatus controller comprising a connector, a selected one of said first treatment device or the treatment device in the second treatment device engaged to the connector for use, the control which treatment apparatus comprises means for identifying the first and the second treatment means treatment device has been connected, said controller further comprises an operating system, so that only when the first treatment device is connected performing a first graphics interface used to guide the first treatment device is on the screen, and treatment performed using the second guiding means on the display screen only when the second treatment device is connected to a second graphics interface, a graphics interface and the second at least partially different from the first graphical interface, the first graphical interface for the second graphics interface and at least one of said control 制器包括用于在视觉上以逐步的方式提示用户执行使用所连接的治疗装置在身体区域中形成损伤模式的过程的装置,所述损伤模式包括多个轴向地隔开的损伤层级,每个损伤层级包括多个沿圆周隔开的损伤,并且所述控制器还包括用于当在每个沿圆周隔开的层级内及其间产生损伤时实时地记录损伤的形成的装置,从而所述图形用户接口向所述用户显示从开始到结束的过程的进展的直观记录,并引导所述用户以完全形成在给定层级内期望的各个损伤,且不遗漏给定层级的损伤。 System including means for visually providing apparatus in a stepwise manner during the treatment using the apparatus user to perform the connection lesion pattern is formed in the body region, the lesion pattern comprises a plurality of axially spaced lesion levels, each lesion level comprising a plurality of circumferentially spaced injury, and the controller further comprises means between its damaged when within each circumferentially spaced level recording in real time for lesion formation, so that the intuitive graphical user interface displayed progress from start to end of the recording process to the user, and guiding the user to complete formation of the individual lesions within a given level desired, without missing a given level of damage.
  4. 4. 如权利要求1所述的图形用户接口,用于在监控器上在视觉上跟踪不同的损伤层级和每一损伤层级内的治疗区域,以向患者的胃肠道施加能量从而执行外科过程,包括与所述损伤层级相对应的多个损伤层级指示,每个损伤层级指示被细分为分离的区域,其中,在每个损伤层级的每个治疗区域的治疗之后,所述损伤层级指示的所述区域被在视觉上标记为已治疗,其中所述损伤层级指示出现在扁立圆柱体或圆形圆盘上。 4. The graphics user interface of claim 1, for tracking on a monitor different levels of damage and the treatment of injury within each region in the visual hierarchy, thereby performing the surgical procedure to apply energy to a patient's gastrointestinal tract , including damage to the level corresponding to the level indicated multiple lesions, each lesion level indication are subdivided into separate regions, wherein each treatment area after the treatment for each level of damage, the damage level indicated the area is visually labeled as treatment, wherein the damage level indicator appears on the vertical flat circular disc or a cylinder.
  5. 5. 如权利要求4所述的图形用户接口,其中,所述损伤层级指示实时地变化以逐步地引导用户在所述外科过程中在胃肠道内的不同损伤层级上创建组织损伤。 5. Graphical User Interface according to claim 4, wherein said level changing in real time indicating damage to progressively guide the user to create different injury levels of tissue damage within the gastrointestinal tract in the surgical procedure.
  6. 6. 如权利要求4或5所述的图形用户接口,其中,所述损伤层级指示实时地变化以从所述过程的开始到所述过程的结束记录所述过程的进展。 6. The graphics user interface of claim 4 or claim 5, wherein said level changing in real time damage indicating progress from beginning to end of the process to the process of recording of the process.
  7. 7. 如权利要求4所述的图形用户接口,其中,如果连接到包含用于向所述胃肠道施加能量的所述图形用户接口的系统的电外科装置的电极通道被禁用,则当感测到的情况落在期望的预建立的范围之外时颜色指示指示所述感测到的情况是不期望的。 7. The graphical user interface to claim 4, wherein the electrode channel if the electrosurgical device coupled to the graphical user comprising means for applying energy to the interface of the gastrointestinal system is disabled when the sense the case where the sensed falls outside a desired range when a pre-established color indication indicative of the sensed is undesirable.
  8. 8. 如权利要求4所述的图形用户接口,其中,所述损伤层级指示以阵列的方式堆叠并且彼此隔开以露出所述损伤层级指示的下部。 8. Graphical User Interface according to claim 4, wherein the damage level indicated in an array of stacked and spaced from each other to expose the lower portion of the damage level indicated.
  9. 9. 如权利要求4所述的图形用户接口,其中,每一指示是圆盘状的并且所述区域是所述圆盘状指示的细分。 9. Graphical User Interface according to claim 4, wherein each indication is disk-shaped and the region of the disc is subdivided indication.
  10. 10. 如权利要求4所述的图形用户接口,其中,所述图形用户接口提供与将形成的损伤的数量相对应的区段的数量的显示。 10. The graphical user interface to claim 4 wherein the number, the number of the graphical user interface provided with the injury to be formed corresponding to a display section as claimed in claim.
  11. 11. 如权利要求4所述的图形用户接口,其中,所述损伤层级指示的位置和/或取向在所述外科过程期间变化。 11. A graphical user interface to claim 4, wherein the position and / or orientation of the damage level indicated changed during the surgical procedure.
  12. 12. -种用于电外科过程的图形用户接口,所述电外科过程包括通过电外科装置的多个电极施加能量以在轴向地隔开的损伤层级上创建多个损伤,所述图形用户接口包括图形显示,所述图形显示提供电极的至少一个测量参数的指示或者治疗点处的组织的指示,以及在每一损伤层级形成的若干个损伤的图形指示,其中所述电极的所述至少一个测量参数包括感测到的电极头温度的大小、所述电极的感测到的组织温度以及所述电极得到的阻抗值,其中,所述图形用户接口包括用于在产生损伤时实时地记录损伤的形成的装置。 12. - kind of graphical user interface for the electrosurgical procedure, the electrosurgical procedure includes a plurality of electrodes by means of applying the electrosurgical energy to create multiple lesions on the damage level of axially spaced, the graphical user interface includes a graphical display, the graphical display providing an indication of at least one electrode at the tissue treatment site or an indication of the measured parameter, and a plurality of graphical indications of damage at each level of damage formed, wherein the electrode is at least measuring a parameter comprises the size of the sensed tip temperature, the resistance value of the sensing electrode is sensed tissue temperature and the electrode is obtained, wherein said graphical user interface comprises means for real-time recording when damaged means forming a lesion.
  13. 13. 如权利要求12所述的图形用户接口,其中,所述图形显示同时显示电极图标和损伤层级图标。 13. The graphical user interface of claim 12, wherein the graphic display icon and the display electrodes injury station icon.
  14. 14. 如权利要求13所述的图形用户接口,其中,所述损伤层级图标实时地变化以在外科过程中逐步地引导用户在一系列损伤层级中创建损伤。 14. A graphical user interface as claimed in claim 13, wherein the station icon changing in real time damage to progressively guide the user in surgical procedures to create a series of injury damage in the hierarchy.
  15. 15. 如权利要求13所述的图形用户接口,其中,所述损伤层级图标实时地变化以从所述外科过程的开始到所述外科过程的结束记录的所述过程的进展。 15. A graphical user interface as claimed in claim 13, wherein the damage level icon changing in real time the progress of the process from start to end of the surgical procedure to record the surgical procedure.
  16. 16. 如权利要求12所述的图形用户接口,还包括用于指示所述装置的气囊的膨胀的气囊图标。 16. The graphical user interface of claim 12, further comprising means for indicating the airbag inflated airbag device icon.
  17. 17. 如权利要求12所述的图形用户接口,其中,响应于感测到指示与特定损伤层级处的组织相接触的电极阻抗,所述特定损伤层级的图形形式变化到另一图形形式。 17. The graphical user interface of claim 12, wherein, in response to sensing electrodes indicating the impedance of the tissue at a particular level of damage to the contact, the specific change pattern in the form of damage to the other levels in graphical form.
  18. 18. 如权利要求12所述的图形用户接口,还包括表示在预置周期内施加射频能量的定时器图标,温度和阻抗值显示在所述定时器图标的周围。 18. The graphical user interface of claim 12, further comprising applying a timer icon represents the temperature and the resistance value of the RF energy within the preset period of the timer is displayed around the icon.
  19. 19. 如权利要求12所述的图形用户接口,其中,所述图形显示指示所述电外科装置的电极通道是否被禁用。 19. The graphical user interface of claim 12, wherein said graphical display indicates whether the electrosurgical electrode channel means is disabled.
  20. 20. 如权利要求12所述的图形用户接口,其与控制器相组合,其中,所述控制器还识别是第一治疗装置还是第二治疗装置附接到所述控制器。 20. The graphical user interface of claim 12, which in combination with a controller, wherein said controller means further identifying the first or the second treatment device is attached to the treatment controller.
  21. 21. 如权利要求20所述的图形用户接口,其中,所述控制器通过位于每一治疗装置的把手中的编码识别元件识别所述治疗装置。 21. Graphical User Interface according to claim 20, wherein the controller is identified by coded identification element located at each treatment device in the hands of the treatment device.
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Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7329254B2 (en) 1998-02-19 2008-02-12 Curon Medical, Inc. Systems and methods for treating dysfunctions in the intestines and rectum that adapt to the anatomic form and structure of different individuals
US8597290B2 (en) * 1999-07-14 2013-12-03 Mederi Therapeutics Method for treating fecal incontinence
US20050288664A1 (en) * 2004-06-21 2005-12-29 Curon Medical, Inc. Systems and methods for treating tissue regions of the body
US9750563B2 (en) 2009-09-22 2017-09-05 Mederi Therapeutics, Inc. Systems and methods for treating tissue with radiofrequency energy
US9474565B2 (en) 2009-09-22 2016-10-25 Mederi Therapeutics, Inc. Systems and methods for treating tissue with radiofrequency energy
EP2866709A2 (en) * 2012-06-27 2015-05-06 Mederi Therapeutics Inc. Systems and methods for treating tissue with radio frequency energy
US9775664B2 (en) 2009-09-22 2017-10-03 Mederi Therapeutics, Inc. Systems and methods for treating tissue with radiofrequency energy
CN102711642B (en) 2009-09-22 2015-04-29 麦迪尼治疗公司 Systems and methods for controlling use and operation of a family of different treatment devices
US9364277B2 (en) 2012-12-13 2016-06-14 Cook Medical Technologies Llc RF energy controller and method for electrosurgical medical devices
US9204921B2 (en) 2012-12-13 2015-12-08 Cook Medical Technologies Llc RF energy controller and method for electrosurgical medical devices
US10052257B2 (en) 2013-06-13 2018-08-21 Dyansys, Inc. Method and apparatus for stimulative electrotherapy
US20140370476A1 (en) * 2013-06-13 2014-12-18 Dyansys, Inc. Computer-Implemented Training of a Procedure

Family Cites Families (226)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1798902A (en) 1928-11-05 1931-03-31 Edwin M Raney Surgical instrument
US3517128A (en) 1968-02-08 1970-06-23 James R Hines Surgical expanding arm dilator
US3901241A (en) 1973-05-31 1975-08-26 Al Corp Du Disposable cryosurgical instrument
DE2513868C2 (en) 1974-04-01 1982-11-04 Olympus Optical Co., Ltd., Tokyo, Jp
US4196724A (en) 1978-01-31 1980-04-08 Frecker William H Tongue locking device
US4532924A (en) 1980-05-13 1985-08-06 American Hospital Supply Corporation Multipolar electrosurgical device and method
JPS5755573A (en) 1980-09-18 1982-04-02 Olympus Optical Co Ltd Cassette storing device
US4411266A (en) 1980-09-24 1983-10-25 Cosman Eric R Thermocouple radio frequency lesion electrode
US4565200A (en) 1980-09-24 1986-01-21 Cosman Eric R Universal lesion and recording electrode system
NL193256C (en) 1981-11-10 1999-04-02 Cordis Europ Sensor System.
US4601296A (en) 1983-10-07 1986-07-22 Yeda Research And Development Co., Ltd. Hyperthermia apparatus
US4705041A (en) 1984-07-06 1987-11-10 Kim Il G Dilator for Sphincter of Oddi
US5019075A (en) 1984-10-24 1991-05-28 The Beth Israel Hospital Method and apparatus for angioplasty
US5215103A (en) 1986-11-14 1993-06-01 Desai Jawahar M Catheter for mapping and ablation and method therefor
US5365926A (en) 1986-11-14 1994-11-22 Desai Jawahar M Catheter for mapping and ablation and method therefor
US5231995A (en) 1986-11-14 1993-08-03 Desai Jawahar M Method for catheter mapping and ablation
US4901737A (en) 1987-04-13 1990-02-20 Toone Kent J Method and therapeutic apparatus for reducing snoring
US4943290A (en) 1987-06-23 1990-07-24 Concept Inc. Electrolyte purging electrode tip
JPS6446056U (en) 1987-09-17 1989-03-22
US5588432A (en) 1988-03-21 1996-12-31 Boston Scientific Corporation Catheters for imaging, sensing electrical potentials, and ablating tissue
US4907589A (en) 1988-04-29 1990-03-13 Cosman Eric R Automatic over-temperature control apparatus for a therapeutic heating device
US4947842A (en) 1988-09-22 1990-08-14 Medical Engineering And Development Institute, Inc. Method and apparatus for treating tissue with first and second modalities
US4998933A (en) 1988-06-10 1991-03-12 Advanced Angioplasty Products, Inc. Thermal angioplasty catheter and method
DE3821544C2 (en) 1988-06-25 1994-04-28 H Prof Dr Med Just dilatation catheter
US4906203A (en) 1988-10-24 1990-03-06 General Motors Corporation Electrical connector with shorting clip
US4955377A (en) 1988-10-28 1990-09-11 Lennox Charles D Device and method for heating tissue in a patient's body
US4966597A (en) 1988-11-04 1990-10-30 Cosman Eric R Thermometric cardiac tissue ablation electrode with ultra-sensitive temperature detection
DE3838840C2 (en) 1988-11-17 1997-02-20 Leibinger Gmbh Hochfrequenzkoagulationsvorrichtung for surgical purposes
CA1332905C (en) 1989-03-10 1994-11-08 John A. Murchie Method and apparatus for treatment of snoring
US5057107A (en) 1989-04-13 1991-10-15 Everest Medical Corporation Ablation catheter with selectively deployable electrodes
US4976711A (en) 1989-04-13 1990-12-11 Everest Medical Corporation Ablation catheter with selectively deployable electrodes
US5078717A (en) 1989-04-13 1992-01-07 Everest Medical Corporation Ablation catheter with selectively deployable electrodes
US5125928A (en) 1989-04-13 1992-06-30 Everest Medical Corporation Ablation catheter with selectively deployable electrodes
DE3915636C1 (en) 1989-05-12 1990-04-26 Sass, Wolfgang, Dr.
US5114423A (en) 1989-05-15 1992-05-19 Advanced Cardiovascular Systems, Inc. Dilatation catheter assembly with heated balloon
US5084044A (en) 1989-07-14 1992-01-28 Ciron Corporation Apparatus for endometrial ablation and method of using same
WO1991003207A1 (en) 1989-09-08 1991-03-21 Boston Scientific Corporation Physiologic low stress angioplasty
US5035696A (en) 1990-02-02 1991-07-30 Everest Medical Corporation Electrosurgical instrument for conducting endoscopic retrograde sphincterotomy
US5205287A (en) 1990-04-26 1993-04-27 Hoechst Aktiengesellschaft Ultrasonic contrast agents, processes for their preparation and the use thereof as diagnostic and therapeutic agents
US5122137A (en) 1990-04-27 1992-06-16 Boston Scientific Corporation Temperature controlled rf coagulation
US5236413B1 (en) 1990-05-07 1996-06-18 Andrew J Feiring Method and apparatus for inducing the permeation of medication into internal tissue
US5233515A (en) 1990-06-08 1993-08-03 Cosman Eric R Real-time graphic display of heat lesioning parameters in a clinical lesion generator system
US5190540A (en) 1990-06-08 1993-03-02 Cardiovascular & Interventional Research Consultants, Inc. Thermal balloon angioplasty
US5083565A (en) 1990-08-03 1992-01-28 Everest Medical Corporation Electrosurgical instrument for ablating endocardial tissue
US5100423A (en) 1990-08-21 1992-03-31 Medical Engineering & Development Institute, Inc. Ablation catheter
WO1992005752A1 (en) 1990-10-03 1992-04-16 Ernest Truffer Snoring prevention device
US5256138A (en) 1990-10-04 1993-10-26 The Birtcher Corporation Electrosurgical handpiece incorporating blade and conductive gas functionality
US5088979A (en) 1990-10-11 1992-02-18 Wilson-Cook Medical Inc. Method for esophageal invagination and devices useful therein
US5190541A (en) 1990-10-17 1993-03-02 Boston Scientific Corporation Surgical instrument and method
US5094233A (en) 1991-01-11 1992-03-10 Brennan Louis G Turbinate sheath device
US5368557A (en) 1991-01-11 1994-11-29 Baxter International Inc. Ultrasonic ablation catheter device having multiple ultrasound transmission members
US5465717A (en) 1991-02-15 1995-11-14 Cardiac Pathways Corporation Apparatus and Method for ventricular mapping and ablation
US5156151A (en) 1991-02-15 1992-10-20 Cardiac Pathways Corporation Endocardial mapping and ablation system and catheter probe
US5370901A (en) 1991-02-15 1994-12-06 Bracco International B.V. Compositions for increasing the image contrast in diagnostic investigations of the digestive tract of patients
US5345936A (en) 1991-02-15 1994-09-13 Cardiac Pathways Corporation Apparatus with basket assembly for endocardial mapping
US5275610A (en) 1991-05-13 1994-01-04 Cook Incorporated Surgical retractors and method of use
WO1992021285A1 (en) 1991-05-24 1992-12-10 Ep Technologies, Inc. Combination monophasic action potential/ablation catheter and high-performance filter system
US5383917A (en) 1991-07-05 1995-01-24 Jawahar M. Desai Device and method for multi-phase radio-frequency ablation
US5697882A (en) 1992-01-07 1997-12-16 Arthrocare Corporation System and method for electrosurgical cutting and ablation
US5275608A (en) 1991-10-16 1994-01-04 Implemed, Inc. Generic endoscopic instrument
US5328467A (en) 1991-11-08 1994-07-12 Ep Technologies, Inc. Catheter having a torque transmitting sleeve
US5257451A (en) 1991-11-08 1993-11-02 Ep Technologies, Inc. Method of making durable sleeve for enclosing a bendable electrode tip assembly
US5363861A (en) 1991-11-08 1994-11-15 Ep Technologies, Inc. Electrode tip assembly with variable resistance to bending
US5383874A (en) 1991-11-08 1995-01-24 Ep Technologies, Inc. Systems for identifying catheters and monitoring their use
EP0566731A4 (en) 1991-11-08 1995-02-22 Ep Technologies Radiofrequency ablation with phase sensitive power detection.
ES2201051T3 (en) 1991-11-08 2004-03-16 Boston Scientific Limited Ablation electrode comprising temperature detectors isolated.
US5275162A (en) 1991-11-08 1994-01-04 Ep Technologies, Inc. Valve mapping catheter
US5197964A (en) 1991-11-12 1993-03-30 Everest Medical Corporation Bipolar instrument utilizing one stationary electrode and one movable electrode
US5197963A (en) 1991-12-02 1993-03-30 Everest Medical Corporation Electrosurgical instrument with extendable sheath for irrigation and aspiration
US5242441A (en) 1992-02-24 1993-09-07 Boaz Avitall Deflectable catheter with rotatable tip electrode
US5263493A (en) 1992-02-24 1993-11-23 Boaz Avitall Deflectable loop electrode array mapping and ablation catheter for cardiac chambers
US5480644A (en) 1992-02-28 1996-01-02 Jsf Consultants Ltd. Use of injectable biomaterials for the repair and augmentation of the anal sphincters
US5330518A (en) 1992-03-06 1994-07-19 Urologix, Inc. Method for treating interstitial tissue associated with microwave thermal therapy
US5281216A (en) 1992-03-31 1994-01-25 Valleylab, Inc. Electrosurgical bipolar treating apparatus
WO1993020768A1 (en) 1992-04-13 1993-10-28 Ep Technologies, Inc. Steerable microwave antenna systems for cardiac ablation
US5281217A (en) 1992-04-13 1994-01-25 Ep Technologies, Inc. Steerable antenna systems for cardiac ablation that minimize tissue damage and blood coagulation due to conductive heating patterns
WO1993020886A1 (en) 1992-04-13 1993-10-28 Ep Technologies, Inc. Articulated systems for cardiac ablation
US5314466A (en) 1992-04-13 1994-05-24 Ep Technologies, Inc. Articulated unidirectional microwave antenna systems for cardiac ablation
US5443463A (en) 1992-05-01 1995-08-22 Vesta Medical, Inc. Coagulating forceps
US5562720A (en) 1992-05-01 1996-10-08 Vesta Medical, Inc. Bipolar/monopolar endometrial ablation device and method
US5277201A (en) 1992-05-01 1994-01-11 Vesta Medical, Inc. Endometrial ablation apparatus and method
US5443470A (en) 1992-05-01 1995-08-22 Vesta Medical, Inc. Method and apparatus for endometrial ablation
US5324284A (en) 1992-06-05 1994-06-28 Cardiac Pathways, Inc. Endocardial mapping and ablation system utilizing a separately controlled ablation catheter and method
US5281218A (en) 1992-06-05 1994-01-25 Cardiac Pathways Corporation Catheter having needle electrode for radiofrequency ablation
US5254126A (en) 1992-06-24 1993-10-19 Ethicon, Inc. Endoscopic suture punch
WO1994002077A3 (en) 1992-07-15 1994-04-14 Angelase Inc Ablation catheter system
JPH0641038A (en) 1992-07-17 1994-02-15 Mitsubishi Kasei Corp Carboxylic acid derivatives
US5435805A (en) 1992-08-12 1995-07-25 Vidamed, Inc. Medical probe device with optical viewing capability
US5385544A (en) 1992-08-12 1995-01-31 Vidamed, Inc. BPH ablation method and apparatus
US5542916A (en) 1992-08-12 1996-08-06 Vidamed, Inc. Dual-channel RF power delivery system
JPH08506259A (en) 1993-02-02 1996-07-09 ヴィーダメッド インコーポレイテッド Transurethral needle ablation device and method
US5672153A (en) 1992-08-12 1997-09-30 Vidamed, Inc. Medical probe device and method
US5470308A (en) 1992-08-12 1995-11-28 Vidamed, Inc. Medical probe with biopsy stylet
US5370675A (en) 1992-08-12 1994-12-06 Vidamed, Inc. Medical probe device and method
US5421819A (en) 1992-08-12 1995-06-06 Vidamed, Inc. Medical probe device
US5409453A (en) 1992-08-12 1995-04-25 Vidamed, Inc. Steerable medical probe with stylets
US5486161A (en) 1993-02-02 1996-01-23 Zomed International Medical probe device and method
US5556377A (en) 1992-08-12 1996-09-17 Vidamed, Inc. Medical probe apparatus with laser and/or microwave monolithic integrated circuit probe
US5542915A (en) 1992-08-12 1996-08-06 Vidamed, Inc. Thermal mapping catheter with ultrasound probe
US5484400A (en) 1992-08-12 1996-01-16 Vidamed, Inc. Dual channel RF delivery system
US5456662A (en) 1993-02-02 1995-10-10 Edwards; Stuart D. Method for reducing snoring by RF ablation of the uvula
US5514131A (en) 1992-08-12 1996-05-07 Stuart D. Edwards Method for the ablation treatment of the uvula
US6165169A (en) 1994-03-04 2000-12-26 Ep Technologies, Inc. Systems and methods for identifying the physical, mechanical, and functional attributes of multiple electrode arrays
US5313943A (en) 1992-09-25 1994-05-24 Ep Technologies, Inc. Catheters and methods for performing cardiac diagnosis and treatment
US5309910A (en) 1992-09-25 1994-05-10 Ep Technologies, Inc. Cardiac mapping and ablation systems
US5293869A (en) 1992-09-25 1994-03-15 Ep Technologies, Inc. Cardiac probe with dynamic support for maintaining constant surface contact during heart systole and diastole
US5401272A (en) 1992-09-25 1995-03-28 Envision Surgical Systems, Inc. Multimodality probe with extendable bipolar electrodes
US5471982A (en) 1992-09-29 1995-12-05 Ep Technologies, Inc. Cardiac mapping and ablation systems
US5334196A (en) 1992-10-05 1994-08-02 United States Surgical Corporation Endoscopic fastener remover
US5415657A (en) 1992-10-13 1995-05-16 Taymor-Luria; Howard Percutaneous vascular sealing method
US5334193A (en) 1992-11-13 1994-08-02 American Cardiac Ablation Co., Inc. Fluid cooled ablation catheter
WO1994010922A1 (en) 1992-11-13 1994-05-26 Ep Technologies, Inc. Cardial ablation systems using temperature monitoring
US5342357A (en) 1992-11-13 1994-08-30 American Cardiac Ablation Co., Inc. Fluid cooled electrosurgical cauterization system
US5348554A (en) 1992-12-01 1994-09-20 Cardiac Pathways Corporation Catheter for RF ablation with cooled electrode
US5409483A (en) 1993-01-22 1995-04-25 Jeffrey H. Reese Direct visualization surgical probe
DE4303882C2 (en) 1993-02-10 1995-02-09 Kernforschungsz Karlsruhe Combined instrument for cutting and coagulating for minimally invasive surgery
US5837003A (en) 1993-02-10 1998-11-17 Radiant Medical, Inc. Method and apparatus for controlling a patient's body temperature by in situ blood temperature modification
US5433198A (en) 1993-03-11 1995-07-18 Desai; Jawahar M. Apparatus and method for cardiac ablation
US5636634A (en) 1993-03-16 1997-06-10 Ep Technologies, Inc. Systems using guide sheaths for introducing, deploying, and stabilizing cardiac mapping and ablation probes
US5330488A (en) 1993-03-23 1994-07-19 Goldrath Milton H Verres needle suturing kit
US5403311A (en) 1993-03-29 1995-04-04 Boston Scientific Corporation Electro-coagulation and ablation and other electrotherapeutic treatments of body tissue
US5336222A (en) 1993-03-29 1994-08-09 Boston Scientific Corporation Integrated catheter for diverse in situ tissue therapy
EP0644738B1 (en) 1993-04-07 2000-03-08 Cardiac Pathways Corporation Apparatus for ventricular mapping and ablation
US5365945A (en) 1993-04-13 1994-11-22 Halstrom Leonard W Adjustable dental applicance for treatment of snoring and obstructive sleep apnea
EP0703756B1 (en) 1993-06-10 2004-12-15 IMRAN, Mir, A. Transurethral radio frequency ablation apparatus
US5860974A (en) 1993-07-01 1999-01-19 Boston Scientific Corporation Heart ablation catheter with expandable electrode and method of coupling energy to an electrode on a catheter shaft
DE69432148D1 (en) 1993-07-01 2003-03-27 Boston Scient Ltd Catheter for image display, for displaying electrical signals and for ablation
DE4323585A1 (en) 1993-07-14 1995-01-19 Delma Elektro Med App Bipolar high-frequency surgical instrument
US5738096A (en) 1993-07-20 1998-04-14 Biosense, Inc. Cardiac electromechanics
US5433739A (en) 1993-11-02 1995-07-18 Sluijter; Menno E. Method and apparatus for heating an intervertebral disc for relief of back pain
US5472441A (en) 1993-11-08 1995-12-05 Zomed International Device for treating cancer and non-malignant tumors and methods
US5507743A (en) 1993-11-08 1996-04-16 Zomed International Coiled RF electrode treatment apparatus
US5599346A (en) 1993-11-08 1997-02-04 Zomed International, Inc. RF treatment system
US5536267A (en) 1993-11-08 1996-07-16 Zomed International Multiple electrode ablation apparatus
US5683384A (en) 1993-11-08 1997-11-04 Zomed Multiple antenna ablation apparatus
US5458597A (en) 1993-11-08 1995-10-17 Zomed International Device for treating cancer and non-malignant tumors and methods
US5672174A (en) 1995-08-15 1997-09-30 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
US6241725B1 (en) 1993-12-15 2001-06-05 Sherwood Services Ag High frequency thermal ablation of cancerous tumors and functional targets with image data assistance
WO1995020345A1 (en) 1994-01-28 1995-08-03 Ep Technologies, Inc. Minimizing blood contact in cardiac tissue measurements
US5423812A (en) 1994-01-31 1995-06-13 Ellman; Alan G. Electrosurgical stripping electrode for palatopharynx tissue
US5363347A (en) 1994-02-24 1994-11-08 Hap Nguyen Vending tanning timer
US5458596A (en) 1994-05-06 1995-10-17 Dorsal Orthopedic Corporation Method and apparatus for controlled contraction of soft tissue
US6009877A (en) 1994-06-24 2000-01-04 Edwards; Stuart D. Method for treating a sphincter
US6092528A (en) 1994-06-24 2000-07-25 Edwards; Stuart D. Method to treat esophageal sphincters
US6044846A (en) 1994-06-24 2000-04-04 Edwards; Stuart D. Method to treat esophageal sphincters
US7468060B2 (en) 1998-02-19 2008-12-23 Respiratory Diagnostic, Inc. Systems and methods for treating obesity and other gastrointestinal conditions
US8906010B2 (en) * 1998-02-19 2014-12-09 Mederi Therapeutics, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
US6464697B1 (en) 1998-02-19 2002-10-15 Curon Medical, Inc. Stomach and adjoining tissue regions in the esophagus
US6355031B1 (en) 1998-02-19 2002-03-12 Curon Medical, Inc. Control systems for multiple electrode arrays to create lesions in tissue regions at or near a sphincter
US6405732B1 (en) 1994-06-24 2002-06-18 Curon Medical, Inc. Method to treat gastric reflux via the detection and ablation of gastro-esophageal nerves and receptors
US6402744B2 (en) 1998-02-19 2002-06-11 Curon Medical, Inc. Systems and methods for forming composite lesions to treat dysfunction in sphincters and adjoining tissue regions
US5505730A (en) 1994-06-24 1996-04-09 Stuart D. Edwards Thin layer ablation apparatus
US6358245B1 (en) * 1998-02-19 2002-03-19 Curon Medical, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
US6056744A (en) 1994-06-24 2000-05-02 Conway Stuart Medical, Inc. Sphincter treatment apparatus
US6006755A (en) 1994-06-24 1999-12-28 Edwards; Stuart D. Method to detect and treat aberrant myoelectric activity
US6273886B1 (en) * 1998-02-19 2001-08-14 Curon Medical, Inc. Integrated tissue heating and cooling apparatus
WO1997043971A3 (en) 1996-05-22 1998-04-02 Stuart D Edwards Method and apparatus for ablating turbinates
US6645201B1 (en) 1998-02-19 2003-11-11 Curon Medical, Inc. Systems and methods for treating dysfunctions in the intestines and rectum
EP0768841B1 (en) 1994-06-27 2003-12-03 Boston Scientific Limited System for controlling tissue ablation using temperature sensors
US5454782A (en) 1994-08-11 1995-10-03 Perkins; Rodney C. Translumenal circumferential energy delivery device
US5609151A (en) 1994-09-08 1997-03-11 Medtronic, Inc. Method for R-F ablation
US5558673A (en) 1994-09-30 1996-09-24 Vidamed, Inc. Medical probe device and method having a flexible resilient tape stylet
US5571116A (en) 1994-10-02 1996-11-05 United States Surgical Corporation Non-invasive treatment of gastroesophageal reflux disease
US5514130A (en) 1994-10-11 1996-05-07 Dorsal Med International RF apparatus for controlled depth ablation of soft tissue
US5876336A (en) * 1994-10-11 1999-03-02 Ep Technologies, Inc. Systems and methods for guiding movable electrode elements within multiple-electrode structure
US5588960A (en) 1994-12-01 1996-12-31 Vidamed, Inc. Transurethral needle delivery device with cystoscope and method for treatment of urinary incontinence
US5868740A (en) 1995-03-24 1999-02-09 Board Of Regents-Univ Of Nebraska Method for volumetric tissue ablation
JP3835703B2 (en) 1995-05-01 2006-10-18 ボストン サイエンティフィック リミテッド System for sensing the surface temperature of the body tissue in the ablation with electrodes that are actively cooled
US6575969B1 (en) 1995-05-04 2003-06-10 Sherwood Services Ag Cool-tip radiofrequency thermosurgery electrode system for tumor ablation
US5709224A (en) 1995-06-07 1998-01-20 Radiotherapeutics Corporation Method and device for permanent vessel occlusion
US5702438A (en) 1995-06-08 1997-12-30 Avitall; Boaz Expandable recording and ablation catheter system
US5843076A (en) 1995-06-12 1998-12-01 Cordis Webster, Inc. Catheter with an electromagnetic guidance sensor
US6023638A (en) 1995-07-28 2000-02-08 Scimed Life Systems, Inc. System and method for conducting electrophysiological testing using high-voltage energy pulses to stun tissue
CA2305333A1 (en) 1997-10-02 1999-04-15 Cardiogenesis Corporation Transmyocardial revascularization using radiofrequency energy
US5624439A (en) 1995-08-18 1997-04-29 Somnus Medical Technologies, Inc. Method and apparatus for treatment of air way obstructions
US5837001A (en) 1995-12-08 1998-11-17 C. R. Bard Radio frequency energy delivery system for multipolar electrode catheters
US5871483A (en) 1996-01-19 1999-02-16 Ep Technologies, Inc. Folding electrode structures
DE69732362D1 (en) 1996-02-15 2005-03-03 Biosense Webster Inc Method for calibration of a probe
US5800482A (en) 1996-03-06 1998-09-01 Cardiac Pathways Corporation Apparatus and method for linear lesion ablation
US5755760A (en) 1996-03-11 1998-05-26 Medtronic, Inc. Deflectable catheter
US5836874A (en) 1996-04-08 1998-11-17 Ep Technologies, Inc. Multi-function electrode structures for electrically analyzing and heating body tissue
US5830213A (en) 1996-04-12 1998-11-03 Ep Technologies, Inc. Systems for heating and ablating tissue using multifunctional electrode structures
US5733319A (en) 1996-04-25 1998-03-31 Urologix, Inc. Liquid coolant supply system
US5742718A (en) 1996-08-13 1998-04-21 Eclipse Surgical Technologies, Inc. Proprietary fiber connector and electronic security system
US5848969A (en) 1996-10-28 1998-12-15 Ep Technologies, Inc. Systems and methods for visualizing interior tissue regions using expandable imaging structures
US6073052A (en) 1996-11-15 2000-06-06 Zelickson; Brian D. Device and method for treatment of gastroesophageal reflux disease
US6235022B1 (en) 1996-12-20 2001-05-22 Cardiac Pathways, Inc RF generator and pump apparatus and system and method for cooled ablation
US5891030A (en) 1997-01-24 1999-04-06 Mayo Foundation For Medical Education And Research System for two dimensional and three dimensional imaging of tubular structures in the human body
US5916163A (en) 1997-03-07 1999-06-29 Ep Technologies, Inc. Graphical user interface for use with multiple electrode catheters
US5871481A (en) 1997-04-11 1999-02-16 Vidamed, Inc. Tissue ablation apparatus and method
US20030109778A1 (en) 1997-06-20 2003-06-12 Cardiac Assist Devices, Inc. Electrophysiology/ablation catheter and remote actuator therefor
US5957920A (en) 1997-08-28 1999-09-28 Isothermix, Inc. Medical instruments and techniques for treatment of urinary incontinence
US6165173A (en) * 1997-10-06 2000-12-26 Somnus Medical Technologies, Inc. Memory for regulating device utilization and behavior
WO1999035988A1 (en) 1998-01-14 1999-07-22 Conway-Stuart Medical, Inc. Electrosurgical device for sphincter treatment
US8597290B2 (en) 1999-07-14 2013-12-03 Mederi Therapeutics Method for treating fecal incontinence
US6802841B2 (en) 1998-06-04 2004-10-12 Curon Medical, Inc. Systems and methods for applying a selected treatment agent into contact with tissue to treat sphincter dysfunction
US6464689B1 (en) 1999-09-08 2002-10-15 Curon Medical, Inc. Graphical user interface for monitoring and controlling use of medical devices
US6790207B2 (en) 1998-06-04 2004-09-14 Curon Medical, Inc. Systems and methods for applying a selected treatment agent into contact with tissue to treat disorders of the gastrointestinal tract
US6115626A (en) * 1998-03-26 2000-09-05 Scimed Life Systems, Inc. Systems and methods using annotated images for controlling the use of diagnostic or therapeutic instruments in instruments in interior body regions
US6014581A (en) 1998-03-26 2000-01-11 Ep Technologies, Inc. Interface for performing a diagnostic or therapeutic procedure on heart tissue with an electrode structure
US6106460A (en) 1998-03-26 2000-08-22 Scimed Life Systems, Inc. Interface for controlling the display of images of diagnostic or therapeutic instruments in interior body regions and related data
US6643535B2 (en) * 1999-05-26 2003-11-04 Endocare, Inc. System for providing computer guided ablation of tissue
US7363071B2 (en) * 1999-05-26 2008-04-22 Endocare, Inc. Computer guided ablation of tissue using integrated ablative/temperature sensing devices
US6478793B1 (en) 1999-06-11 2002-11-12 Sherwood Services Ag Ablation treatment of bone metastases
US6391024B1 (en) 1999-06-17 2002-05-21 Cardiac Pacemakers, Inc. RF ablation apparatus and method having electrode/tissue contact assessment scheme and electrocardiogram filtering
US6387092B1 (en) 1999-09-07 2002-05-14 Scimed Life Systems, Inc. Systems and methods to identify and disable re-used single use devices based on time elapsed from first therapeutic use
WO2001017452A9 (en) 1999-09-08 2002-12-05 Curon Medical Inc System for controlling a family of treatment devices
EP1218801A4 (en) 1999-09-08 2009-07-01 Mederi Therapeutics Inc Systems and methods for monitoring and controlling use of medical devices
US6547776B1 (en) 2000-01-03 2003-04-15 Curon Medical, Inc. Systems and methods for treating tissue in the crura
US6544226B1 (en) 2000-03-13 2003-04-08 Curon Medical, Inc. Operative devices that can be removably fitted on catheter bodies to treat tissue regions in the body
US6468241B1 (en) 2000-10-26 2002-10-22 Chf Solutions, Inc. Artificial kidney set with electronic key
US7160270B2 (en) 2001-03-26 2007-01-09 Curon Medical, Inc. Systems and methods employing a bite block insert for positioning and stabilizing external instruments deployed within the body
US7077841B2 (en) 2001-03-26 2006-07-18 Curon Medical, Inc. Systems and methods employing a guidewire for positioning and stabilizing external instruments deployed within the body
US20060155261A1 (en) * 2001-09-19 2006-07-13 Curon Medical, Inc. Systems and methods for treating tissue regions of the body
US6699243B2 (en) 2001-09-19 2004-03-02 Curon Medical, Inc. Devices, systems and methods for treating tissue regions of the body
US7258688B1 (en) * 2002-04-16 2007-08-21 Baylis Medical Company Inc. Computerized electrical signal generator
JP4127640B2 (en) * 2002-09-19 2008-07-30 株式会社東芝 Ultrasound therapy device
EP1570336A2 (en) * 2002-12-04 2005-09-07 Philips Electronics N.V. Graphic user interface having touch detectability
JP2004208922A (en) 2002-12-27 2004-07-29 Olympus Corp Medical apparatus, medical manipulator and control process for medical apparatus
US20050004559A1 (en) * 2003-06-03 2005-01-06 Senorx, Inc. Universal medical device control console
CN1871609A (en) * 2003-11-13 2006-11-29 德雷格医疗系统股份有限公司 Processing apparatus and display system
KR101043737B1 (en) 2007-02-15 2011-06-24 주식회사 하이닉스반도체 Electrostatic discharge protection element
US8315689B2 (en) * 2007-09-24 2012-11-20 MRI Interventions, Inc. MRI surgical systems for real-time visualizations using MRI image data and predefined data of surgical tools
US8845630B2 (en) 2007-06-15 2014-09-30 Syneron Medical Ltd Devices and methods for percutaneous energy delivery
US9468364B2 (en) * 2008-11-14 2016-10-18 Intuitive Surgical Operations, Inc. Intravascular catheter with hood and image processing systems
CN102711642B (en) 2009-09-22 2015-04-29 麦迪尼治疗公司 Systems and methods for controlling use and operation of a family of different treatment devices

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